Individual provider Active NPI

Thanh Huynh

  • General Practice Dentistry
  • Missouri City, TX
National Provider Identifier
1508305368
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33173 Issued in TX
Practice address
9612 Hwy 6 Ste 100
Missouri City, TX 77459-5509
Phone
(281) 747-9988
NPI assigned
Feb 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 33173 TX Primary

Addresses

Primary practice location

9612 Hwy 6 Ste 100
Missouri City, TX 77459-5509

Mailing address

3807 Pantano CT
Missouri City, TX 77459-5509

Other practice location 1

11226 S Wilcrest Dr
Houston, TX 77099-4313
Phone (281) 977-7462

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
33173TXMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri City Dentistry General Practice CurrentSince Jul 21, 2024 Accepting new patients
Aster Smiles PLLC Series a RS General Practice CurrentSince Apr 20, 2025 Accepting new patients

Locations

20611 FM 529 Rd
Ste 109
Cypress, TX 77433
Phone (832) 476-7676

9612 Highway 6
Ste 100
Missouri City, TX 77459
Phone (281) 747-9988

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": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1508305368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 PANTANO CT",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9612 HWY 6 STE 100",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595509",
            "telephone_number": "281-747-9988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11226 S Wilcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770994313",
            "country_code": "US",
            "telephone_number": "281-977-7462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "THANH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-13",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.