Individual provider Active NPI

Thai V Nguyen, D.O.

  • Family Medicine Physician
  • Bellaire, TX
National Provider Identifier
1407192883
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P9923 Issued in TX
Practice address
6565 West Loop S Ste 525
Bellaire, TX 77401-3519
Phone
(713) 661-7888
Fax
(713) 661-7899
NPI assigned
Dec 12, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P9923 TX Primary

Addresses

Primary practice location

6565 West Loop S Ste 525
Bellaire, TX 77401-3519

Mailing address

615 North Loop E # 100
Houston, TX 77022-5934
Phone (832) 380-2580

Other identifiers 1

IdentifierTypeStateIssuer
376220ZH8ROtherTXMEDICARE PROVIDER NUMBER

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
P9923TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Loop Primary Care PLLC Family Medicine CurrentSince Aug 27, 2023 Accepting new patients

Locations

615 North Loop E
#100
Houston, TX 77022
Phone (832) 380-2580

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1407192883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 NORTH LOOP E # 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770225934",
            "telephone_number": "832-380-2580",
            "fax_number": "832-380-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S STE 525",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013519",
            "telephone_number": "713-661-7888",
            "fax_number": "713-661-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THAI",
        "middle_name": "V",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-12",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P9923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "376220ZH8R",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.