Organization Active NPI

Quynh Tan, DDS, Ms, PLLC

Doing business as Orthodontique

  • Dentist
  • Sugar Land, TX
National Provider Identifier
1477810737
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23176 Issued in TX
Legal business name
QUYNH TAN, DDS, MS, PLLC
Doing business as
Orthodontique
Practice address
19875 Southwest Fwy Ste 250
Sugar Land, TX 77479-6721
Phone
(281) 937-7633
NPI assigned
Apr 11, 2012
Last updated
Jan 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Dr. Quynh Tan, DDS, MS
Title
Owner
Phone
(281) 937-7633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 23176 TX Primary

Addresses

Primary practice location

19875 Southwest Fwy Ste 250
Sugar Land, TX 77479-6721

Mailing address

19875 Southwest Fwy Ste 250
Sugar Land, TX 77479-6721

Other names 1

  • Orthodontique Doing business as

National Provider Directory

National Provider Directory

Locations

19875 Southwest Fwy
Ste 250
Sugar Land, TX 77479
Phone (281) 937-7633

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1477810737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19875 SOUTHWEST FWY STE 250",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19875 SOUTHWEST FWY STE 250",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796721",
            "telephone_number": "281-937-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUYNH TAN, DDS, MS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "QUYNH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-937-7633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.