Organization Active NPI

TNN Dental, PLLC

  • Dentist
  • Porter, TX
National Provider Identifier
1386201366
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TNN DENTAL, PLLC
Practice address
23896 TX-494 Loop
Porter, TX 77365
Phone
(408) 616-9175
NPI assigned
May 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Authorized official

Name
Hieu Tin Nguyen Pham, DDSNPI 1316293848
Title
Dentist-Owner
Phone
(408) 616-9175

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

23896 TX-494 Loop
Porter, TX 77365

Mailing address

5547 Highway 6 N
Houston, TX 77084-1827
Phone (408) 616-9175

National Provider Directory

National Provider Directory

Locations

23896 Loop 494
Porter, TX 77365
Phone (281) 354-5482

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1386201366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5547 HIGHWAY 6 N",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770841827",
            "telephone_number": "408-616-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23896 TX-494 LOOP",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "77365",
            "telephone_number": "408-616-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TNN DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "NGUYEN PHAM",
        "authorized_official_first_name": "HIEU",
        "authorized_official_middle_name": "TIN",
        "authorized_official_title_or_position": "DENTIST-OWNER",
        "authorized_official_telephone_number": "408-616-9175",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.