Individual provider Active NPI

Anthony Hoang

  • General Practice Dentistry
  • Forest Hill, TX
National Provider Identifier
1457560989
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23242 Issued in TX
Practice address
6619 Forest Hill Dr Ste 55
Forest Hill, TX 76140-1260
Phone
(817) 572-5580
NPI assigned
May 22, 2007
Last updated
Jun 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23242 TX Primary

Addresses

Primary practice location

6619 Forest Hill Dr Ste 55
Forest Hill, TX 76140-1260

Mailing address

6619 Forest Hill Dr Ste 55
Forest Hill, TX 76140-1260
Phone (817) 483-0188

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151201000390 TX Order and Referring Only - DentistPractitioner - Dentist 3779883558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23242TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ah Dental 2 PLLC CurrentSince Jun 11, 2023 Accepting new patients
A.H. Dental, P.C. General Practice PastSince Jun 11, 2023 Accepting new patients

Locations

6619 Forest Hill Dr
Ste 55
Forest Hill, TX 76140
Phone (817) 572-5580

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1457560989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6619 FOREST HILL DR STE 55",
            "city": "FOREST HILL",
            "state": "TX",
            "postal_code": "761401260",
            "telephone_number": "817-483-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6619 FOREST HILL DR STE 55",
            "city": "FOREST HILL",
            "state": "TX",
            "postal_code": "761401260",
            "telephone_number": "817-572-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hill, TX

Sources for this page

Verify at the official NPI Registry.