Organization Active NPI

Northwest Family Dentistry

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1316080088
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15764 Issued in TX
Legal business name
NORTHWEST FAMILY DENTISTRY
Practice address
2120 W 18TH St
Houston, TX 77008-1210
Phone
(713) 861-7078
Fax
(713) 861-8065
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Andrew Wong, D.D.S.NPI 1790958007
Title
General Partner
Phone
(713) 861-7078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 15764 TX Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 15415 TX

Addresses

Primary practice location

2120 W 18TH St
Houston, TX 77008-1210

Mailing address

2120 W 18TH St
Houston, TX 77008-1210
Phone (713) 861-7078

Other identifiers 1

IdentifierTypeStateIssuer
009719801MedicaidTX

National Provider Directory

National Provider Directory

Locations

2120 W 18th St
Houston, TX 77008
Phone (713) 861-7078

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1316080088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 W 18TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081210",
            "telephone_number": "713-861-7078",
            "fax_number": "713-861-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 W 18TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081210",
            "telephone_number": "713-861-7078",
            "fax_number": "713-861-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "713-861-7078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15764",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15415",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009719801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.