Organization Active NPI

Trong D. Nguyen, D.D.S., P.a.

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1447422290
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17939 Issued in TX
Legal business name
TRONG D. NGUYEN, D.D.S., P.A.
Practice address
932 E Tidwell Rd
Houston, TX 77022-1826
Phone
(713) 691-0555
Fax
(713) 691-0921
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Dr. Trong Duc Nguyen, D.D.S.NPI 1326081431
Title
Dentist
Phone
(713) 691-0555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 17939 TX Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 23050 TX

Addresses

Primary practice location

932 E Tidwell Rd
Houston, TX 77022-1826

Mailing address

932 E Tidwell Rd
Houston, TX 77022-1826
Phone (713) 691-0555

Other identifiers 4

IdentifierTypeStateIssuer
126807004MedicaidTX
1952186041MedicaidTX
975552OtherTXUNITED CONCORDIA
TEX60OtherTXTEXAS CHIP

Other names 1

  • TIDWELL DENTAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

932 E Tidwell Rd
Houston, TX 77022
Phone (713) 691-0555

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": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1447422290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 E TIDWELL RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770221826",
            "telephone_number": "713-691-0555",
            "fax_number": "713-691-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 E TIDWELL RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770221826",
            "telephone_number": "713-691-0555",
            "fax_number": "713-691-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRONG D. NGUYEN, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TRONG",
        "authorized_official_middle_name": "DUC",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "713-691-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17939",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23050",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126807004",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952186041",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "975552",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS CHIP",
            "identifier": "TEX60",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIDWELL DENTAL CENTER",
            "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 Apr 23, 2014; 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.