Individual provider Active NPI

Phuong Nam Thi DO

  • Dentist
  • Houston, TX
National Provider Identifier
1447428446
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14490 Issued in TX
Practice address
10815 Beechnut St Ste 131
Houston, TX 77072-4491
Phone
(281) 879-7749
Fax
(281) 879-5195
NPI assigned
Feb 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14490 TX Primary

Addresses

Primary practice location

10815 Beechnut St Ste 131
Houston, TX 77072-4491

Mailing address

10815 Beechnut St Ste 131
Houston, TX 77072-4491
Phone (281) 879-7749

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14490TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
SW Dental Care Dentist Past Accepting new patients

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": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1447428446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10815 BEECHNUT ST STE 131",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770724491",
            "telephone_number": "281-879-7749",
            "fax_number": "281-879-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 BEECHNUT ST STE 131",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770724491",
            "telephone_number": "281-879-7749",
            "fax_number": "281-879-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "PHUONG NAM",
        "middle_name": "THI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "14490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 13, 2008; 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.