NPIMap

Organization Active NPI

Fresh Orthodontics, PLLC

Doing business as Fresh Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Houston, TX
National Provider Identifier
1417305269
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
24752 Issued in TX
Legal business name
FRESH ORTHODONTICS, PLLC
Doing business as
Fresh Orthodontics
Practice address
5900 North Fwy
Ste. 105
Houston, TX 77076-4039
Phone
(281) 771-1111
NPI assigned
Jun 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
Dr. Joseph D Nguyen, DDS
Title
Owner
Phone
(281) 771-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 24752 TX Primary

Addresses

Primary practice location

5900 North Fwy
Ste. 105
Houston, TX 77076-4039

Mailing address

5900 North Fwy
Ste. 105
Houston, TX 77076-4039
Phone (281) 771-1111

Other names 1

  • FRESH ORTHODONTICS Doing business as

National Provider Directory

National Provider Directory

Locations

5900 North Fwy
Ste 105
Houston, TX 77076
Phone (281) 771-1111

Practitioners & affiliated clinicians

Practitioners 5

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": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1417305269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 NORTH FWY",
            "address_2": "STE. 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764039",
            "telephone_number": "281-771-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 NORTH FWY",
            "address_2": "STE. 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764039",
            "telephone_number": "281-771-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-771-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "24752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRESH ORTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.