Nam Thanh Ly, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

40490 Issued in TX

Practice address

9612 Highway 6 Ste 100
Missouri City, TX 77459-5154

Phone

(281) 747-9988

NPI assigned

Jun 19, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Missouri City Dentistry

  • General Practice Dentistry
  • Missouri City, TX
  • NPI 1235614777
  NPD
• Dot Dental

  • Dentist
  • Houston, TX
  • NPI 1306425335
  NPD (past)
• Stephanie a Barfield DDS

  • Customized Equipment (DME)
  • Houston, TX
  • NPI 1508260977
  NPD (past)

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1376387936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9612 HIGHWAY 6 STE 100",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595154",
            "telephone_number": "504-655-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9612 HIGHWAY 6 STE 100",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595154",
            "telephone_number": "281-747-9988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10058 Long Point Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770554002",
            "country_code": "US",
            "telephone_number": "832-345-9090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Gessner Rd Ste 660",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770242541",
            "country_code": "US",
            "telephone_number": "713-465-3626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LY",
        "first_name": "NAM",
        "middle_name": "THANH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "40490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Luces
• Luminance Health and Beauty PLLC
• Luna Dental PLLC (Elevated Smiles)
• Alexa Lundgreen, LMSW
• Luxottica of America Inc. (Target Optical #2024)
• Lyles Counseling and Wellness
• Lyra Healthcare LLC
• M & Y Extraordinary Care Inc.
• Mac Counseling and Consulting PLLC
• Kyle Macdonald, LPC-MHSP / LPC

• Dentist in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.