Organization Active NPI

Olive Dental Group PLLC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1619211406
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24830 Issued in TX
Legal business name
OLIVE DENTAL GROUP PLLC
Practice address
4407 -D FM 1960 Rd W
Houston, TX 77068
Phone
(832) 243-8116
NPI assigned
Nov 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Authorized official

Name
Dr. Tung Huynh, DDS
Title
Dentist
Phone
(832) 243-8116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 24830 TX Primary

Addresses

Primary practice location

4407 -D FM 1960 Rd W
Houston, TX 77068

Mailing address

5522 Schumacher LN
Houston, TX 77056-6812

National Provider Directory

National Provider Directory

Locations

4407 FM 1960 Rd W
Ste D
Houston, TX 77068
Phone (281) 397-6161

NPI Registry JSON

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1619211406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5522 SCHUMACHER LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770566812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 -D FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77068",
            "telephone_number": "832-243-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "TUNG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "832-243-8116",
        "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": "24830",
            "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 Nov 16, 2012; 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.