Active NPI
Hieu Ho
- Dentist
- Tyler, TX
National Provider Identifier
1467157560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40582
- Practice address
- 8942 S Broadway Ave Ste 128
Tyler, TX 75703-5443 - Phone
- (903) 405-1552
- NPI assigned
- Mar 31, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 40582 | TX | Primary |
Addresses
Primary practice location
8942 S Broadway Ave Ste 128
Tyler, TX 75703-5443
Mailing address
1630 Loveland Dr
Arlington, TX 76018-3062
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40582 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1467157560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 LOVELAND DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760183062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8942 S BROADWAY AVE STE 128",
"city": "TYLER",
"state": "TX",
"postal_code": "757035443",
"telephone_number": "903-405-1552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HO",
"first_name": "HIEU",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-31",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "40582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.