Nikko Cosmetic Surgery Center

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

K5639 Issued in TX

Legal business name

NIKKO COSMETIC SURGERY CENTER

Doing business as

Nikko Dermatology

Practice address

4707 Eigel St Ste 100
Houston, TX 77007-3417

Phone

(713) 960-1311

Fax

(713) 960-1325

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Anthony Phan Nikko, MDNPI 1962649491

Title

Owner

Phone

(713) 960-1311

Specialties & licenses 1

Addresses

Other names 1

• Nikko Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

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.

• Anthony Phan Nikko, MD

  • Dermatology Physician
  • Houston, TX
  • NPI 1962649491
  Medicare reassignment Authorized official
• Stacy Elaine McEnaney, APRN-CNP

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1467958819
  Medicare reassignment NPD
• Vannica Soy, FNP-C

  • Dermatology Physician
  • Cypress, TX
  • NPI 1245843473
  Medicare reassignment NPD
• Huan T. Bui, PA-C

  • Medical Physician Assistant
  • Houston, TX
  • NPI 1932393774
  Medicare reassignment
• Cathleen Yvonne Chidester, PA-C

  • Medical Physician Assistant
  • Houston, TX
  • NPI 1134109432
  Medicare reassignment
• Celia Marie Vaclavik, PA-C

  • Physician Assistant
  • Houston, TX
  • NPI 1164703393
  Medicare reassignment

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1396845673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 EIGEL ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073417",
            "telephone_number": "713-960-1311",
            "fax_number": "832-653-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 EIGEL ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073417",
            "telephone_number": "713-960-1311",
            "fax_number": "713-960-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKKO COSMETIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "NIKKO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "PHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-960-1311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "K5639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nikko Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nikki Children's Home (NCH Outreach Center)
• Nikki Holiday (A Karyng Home Health Services)
• Nikki Nicks Mobile Phlebotomist Services Inc (Shanika Smith)
• Nikki's Apothecary, LLC
• Nikki's Medical Transportation Servies
• Nikko Dermatology PLLC (Nikko Dermatology)
• Anthony Phan Nikko, MD
• Nikky's Home Care
• Sharareh Niknam, DDS
• Casey Eileen Nikolich

• Dermatology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.