Organization Active NPI

Victor R Trevino DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Sugar Land, TX
National Provider Identifier
1407591548
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
VICTOR R TREVINO DDS
Practice address
4660 Sweetwater Blvd Ste 230
Sugar Land, TX 77479-3167
Phone
(281) 980-1733
NPI assigned
May 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Ryan Trevino, DDS
Title
Doctor
Phone
(281) 980-1733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

4660 Sweetwater Blvd Ste 230
Sugar Land, TX 77479-3167

Mailing address

4660 Sweetwater Blvd Ste 230
Sugar Land, TX 77479-3167
Phone (281) 980-1733

Other names 1

  • RYAN TREVINO, DDS - FAMILY & RESTORATIVE DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

4660 Sweetwater Blvd
Ste 230
Sugar Land, TX 77479
Phone (281) 494-9191

Practitioners & affiliated clinicians

Practitioners 2

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": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1407591548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 SWEETWATER BLVD STE 230",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793167",
            "telephone_number": "281-980-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 SWEETWATER BLVD STE 230",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793167",
            "telephone_number": "281-980-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR R TREVINO DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "281-980-1733",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RYAN TREVINO, DDS - FAMILY & RESTORATIVE DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RYAN TREVINO, DDS - FAMILY & RESTORATIVE DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.