Active NPI
Peter Nguyen Van Tho, DDS
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1295802734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17169
- Practice address
- 12002 Veterans Memorial Drive
Suite B3
Houston, TX 77067 - Phone
- (281) 580-7446
- Fax
- (281) 580-7520
- NPI assigned
- Nov 29, 2006
- Last updated
- Feb 14, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17169 | TX | Primary |
Addresses
Primary practice location
12002 Veterans Memorial Drive
Suite B3
Houston, TX 77067
Mailing address
12002 Veterans Memorial Drive
Suite B3
Houston, TX 77067
Phone (281) 580-7446
Other practice location 1
11574 Bellaire Blvd
Houston, TX 77072-2448
Phone (281) 561-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 090749501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17169 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Van Tho Dental Center | Past | Accepting new patients | |
| Van Tho Dental Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1295802734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12002 VETERANS MEMORIAL DRIVE",
"address_2": "SUITE B3",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77067",
"telephone_number": "281-580-7446",
"fax_number": "281-580-7520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12002 VETERANS MEMORIAL DRIVE",
"address_2": "SUITE B3",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77067",
"telephone_number": "281-580-7446",
"fax_number": "281-580-7520"
}
],
"practiceLocations": [
{
"address_1": "11574 Bellaire Blvd",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770722448",
"country_code": "US",
"telephone_number": "281-561-7800",
"fax_number": "281-561-9978",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN THO",
"first_name": "PETER",
"middle_name": "NGUYEN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "17169",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "090749501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Cindy Anne Van Praag, M.D.
- Enrique Van Santen, M.D.
- Mary Van Sickle, M.D.
- Van Tho Dental Center (Peter N Van Tho DDS)
- Van Tho Dental Center (Peter N. Van Tho, D.D.S.)
- Van Thuy Truong, OD PA
- Alexander James Van Valkenburgh, ATC/ LAT
- Van Van Nguyen, MD, PA
- Laura Marie Van Veldhoven, PH.D., M.P.H.
- Katherine Nicole Van Wagenen, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.