Individual provider Active NPI

Tracy Nguyen Martin, D.D.S.

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1538274246
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22856 Issued in TX
Practice address
5800 Bellaire Blvd Ste 110
Houston, TX 77081-5537
Phone
(713) 667-4077
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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 22856 TX Primary

Addresses

Primary practice location

5800 Bellaire Blvd Ste 110
Houston, TX 77081-5537

Mailing address

702 E 10TH St
Houston, TX 77008-7104
Phone (832) 640-0346

Other practice location 1

9631 Fm 1960 Rd W # B
Houston, TX 77070-6110
Phone (281) 469-0589

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allan Hamburg D.D.S., P.C. General Practice Past Accepting new patients
South Texas Dental Associates, L.P. General Practice Past Accepting new patients
Brident Dental Associates PC Past Accepting new patients

Organizations & group practices 3

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1538274246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 E 10TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770087104",
            "telephone_number": "832-640-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 BELLAIRE BLVD STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770815537",
            "telephone_number": "713-667-4077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9631 Fm 1960 Rd W # B",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770706110",
            "country_code": "US",
            "telephone_number": "281-469-0589",
            "fax_number": "281-970-1130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TRACY",
        "middle_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 28, 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.