Nitichai Wong

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31321 Issued in TX

Practice address

14411 Bellaire Blvd
Houston, TX 77083-7521

Phone

(281) 575-6062

NPI assigned

Sep 2, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Giving Back Smiles Co PLLC

  • Dental Clinic/Center
  • El Paso, TX
  • NPI 1932868015
  NPD Authorized official
• Spreading Smiles Company PLLC

  • General Practice Dentistry
  • Sugar Land, TX
  • NPI 1619799137
  NPD Authorized official
• A Plus Smile Dental LLC

  • Dentist
  • Houston, TX
  • NPI 1841668050
  NPD (past)
• A Plus Smile Dentistry, PLLC

  dba A Plus Smile Dental

  • Dentist
  • Houston, TX
  • NPI 1982395802
  NPD (past)

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1467829887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12219 ASHFORD MEADOWS DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774786146",
            "telephone_number": "832-293-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 BELLAIRE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770837521",
            "telephone_number": "281-575-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "NITICHAI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-02",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32321",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra Edith Wong, DDS, MS
• Melissa Wong, DDS
• Michael Wong, D.O.
• Michael Allen Wong, D.D.S.
• Michelle Wong, O.D.
• Pamela Wong, PHARMD
• Phoebe Hsiao-Hwei Wong, LCSW
• Raymond Wong
• Robbie Elizabeth Wong, PSYD
• Ryan Wong

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.