Active NPI
Paul Hung, DDS
- Dentist
- Haltom City, TX
National Provider Identifier
1407281603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29462
- Practice address
- 3101 Denton Hwy
Suite 100
Haltom City, TX 76117-3706 - Phone
- (817) 831-1567
- NPI assigned
- Sep 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 29462 | TX | Primary |
Addresses
Primary practice location
3101 Denton Hwy
Suite 100
Haltom City, TX 76117-3706
Mailing address
1200 W Walnut Hill LN
Suite 3950
Irving, TX 75038-3029
Phone (972) 514-1672
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150611002459 | TX | Order and Referring Only - Oral Surgery | 4789905043 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29462 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464307200000",
"number": "1407281603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W WALNUT HILL LN",
"address_2": "SUITE 3950",
"city": "IRVING",
"state": "TX",
"postal_code": "750383029",
"telephone_number": "972-514-1672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 DENTON HWY",
"address_2": "SUITE 100",
"city": "HALTOM CITY",
"state": "TX",
"postal_code": "761173706",
"telephone_number": "817-831-1567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNG",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-06",
"last_updated": "2016-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "29462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haltom City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.