Active NPI
Ellen Hoang
- Orthodontics and Dentofacial Orthopedics Dentistry
- Killeen, TX
National Provider Identifier
1326737099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 40948
- Practice address
- 1103 W Stan Schlueter Loop Ste B800
Killeen, TX 76549-6691 - Phone
- (254) 519-1590
- NPI assigned
- May 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 61367540 | WA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 40948 | TX | Primary |
Addresses
Primary practice location
1103 W Stan Schlueter Loop Ste B800
Killeen, TX 76549-6691
Mailing address
3000 Gracie Kiltz LN Apt 708
Austin, TX 78758-0093
Other practice location 1
8012 112th St Ct E #320
Puyallup, WA 98373
Phone (253) 848-2331
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 |
|---|---|---|---|
| 40948 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 61367540 | WA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1326737099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 GRACIE KILTZ LN APT 708",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787580093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 W STAN SCHLUETER LOOP STE B800",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765496691",
"telephone_number": "254-519-1590"
}
],
"practiceLocations": [
{
"address_1": "8012 112th St Ct E #320",
"address_purpose": "LOCATION",
"city": "Puyallup",
"state": "WA",
"postal_code": "98373",
"country_code": "US",
"telephone_number": "253-848-2331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOANG",
"first_name": "ELLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-08",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WA",
"license": "61367540",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "40948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.