Organization Active NPI

Stanky Teeth, PLLC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1508377169
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24752 Issued in TX
Legal business name
STANKY TEETH, PLLC
Practice address
10761 Gulf Fwy
Houston, TX 77034-1857
Phone
(281) 400-1111
Fax
(281) 741-8809
NPI assigned
Oct 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Joseph Nguyen, DDS
Title
Owner
Phone
(281) 400-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 24752 TX Primary

Addresses

Primary practice location

10761 Gulf Fwy
Houston, TX 77034-1857

Mailing address

17 Quiet Vista Dr
Sugar Land, TX 77498-5805
Phone (832) 370-7680

Other names 1

  • Fresh Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

10761 Gulf Fwy
Houston, TX 77034
Phone (281) 400-1111

NPI Registry JSON

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

{
    "created_epoch": "1508630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1508377169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 QUIET VISTA DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774985805",
            "telephone_number": "832-370-7680",
            "fax_number": "281-741-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10761 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770341857",
            "telephone_number": "281-400-1111",
            "fax_number": "281-741-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANKY TEETH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-22",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-400-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.