Active NPI
Kim Hoang, DDS, MSD
- Pediatric Dentistry
- Austin, TX
National Provider Identifier
1407083827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 24245
- Practice address
- 9001 Brodie LN
Suite C-2
Austin, TX 78748-5002 - Phone
- (512) 280-2266
- Fax
- (512) 672-7051
- NPI assigned
- Jun 11, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 24245 | TX | Primary |
Addresses
Primary practice location
9001 Brodie LN
Suite C-2
Austin, TX 78748-5002
Mailing address
9001 Brodie LN
Suite C-2
Austin, TX 78748-5002
Phone (512) 280-2266
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 |
|---|---|---|---|
| 24245 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Petite Dental PLLC | Pediatric Dentistry | Current | Accepting new patients |
| Petite Dental & Orthodontics PLLC | Current | Accepting new patients |
Locations
9001 Brodie Ln
Ste C2
Austin, TX 78748
Phone (512) 280-2266
Organizations & group practices 2
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Austin, TX
- NPI 1699637520
-
- Pediatric Dentistry
- Austin, TX
- NPI 1154283083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1407083827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 BRODIE LN",
"address_2": "SUITE C-2",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787485002",
"telephone_number": "512-280-2266",
"fax_number": "512-672-7051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 BRODIE LN",
"address_2": "SUITE C-2",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787485002",
"telephone_number": "512-280-2266",
"fax_number": "512-672-7051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOANG",
"first_name": "KIM",
"name_prefix": "Dr.",
"credential": "DDS, MSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-11",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "24245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.