Phil Tiet, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17052 Issued in TX

Practice address

1802 N Richmond Rd
Wharton, TX 77488-2715

Phone

(979) 532-1920

Fax

(979) 532-0630

NPI assigned

Mar 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Phuong Tiet Former name

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

Practice roles

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.

• Wharton Dental, Inc

  • General Practice Dentistry
  • Wharton, TX
  • NPI 1437336971
  NPD (past) Authorized official

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477513869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 N RICHMOND RD",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774882715",
            "telephone_number": "979-532-1920",
            "fax_number": "979-532-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 N RICHMOND RD",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774882715",
            "telephone_number": "979-532-1920",
            "fax_number": "979-532-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIET",
        "first_name": "PHIL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009513501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHUONG",
            "last_name": "TIET",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Texana Center
• Texas Home Health Skilled Services, LP (AccentCare Home Health of Texas)
• Taryn Leigh Teykl, FNP-C
• Therapy Solutions 4 U, PLLC
• There Is Victory in Jesus Recovery Center (Victory In Jesus Recovery Center)
• Lindsey Elizabeth Tijerina, M.D.
• James Lynn Tiner
• Tony Todd
• Top Comfort & Care
• Alain Luan Ngoc Tran, OD

• General Practice Dentistry in Wharton, TX
• Providers in Wharton, 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 Jul 8, 2007; 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.