Individual provider Active NPI

Minyue Dai, D.M.D

  • Dentist
  • Spring, TX
National Provider Identifier
1477780286
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1855342 Issued in MA
Practice address
20423 Kuykendahl Rd
Suite 600
Spring, TX 77379-3491
Phone
(617) 447-3885
NPI assigned
Jun 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1855342 MA Primary
Pediatric Dentistry 1223P0221X 28816 TX

Addresses

Primary practice location

20423 Kuykendahl Rd
Suite 600
Spring, TX 77379-3491

Mailing address

20423 Kuykendahl Rd
Suite 600
Spring, TX 77379-3491
Phone (617) 447-3885

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
DN1855342MAMDDentist
28816TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bleu Pediatric Dentistry & Orthodontics Pediatric Dentistry Current Accepting new patients
Rachel Dai, PLLC Pediatric Dentistry CurrentSince Jan 19, 2020 Accepting new patients

Locations

20423 Kuykendahl Rd
Ste 600
Spring, TX 77379
Phone (281) 376-2405

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1477780286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20423 KUYKENDAHL RD",
            "address_2": "SUITE 600",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793491",
            "telephone_number": "617-447-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20423 KUYKENDAHL RD",
            "address_2": "SUITE 600",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793491",
            "telephone_number": "617-447-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAI",
        "first_name": "MINYUE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855342",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "28816",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.