Individual provider Active NPI

Ellen Hoang

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Killeen, TX
National Provider Identifier
1326737099
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
40948 Issued in TX
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

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
40948TXMDOrthodontics and Dentofacial Orthopedic Dentist
61367540WAMDOrthodontics 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.

Verify at the official NPI Registry.