Organization Active NPI

QH Enterprises, PLLC

Doing business as Hermosa Dental

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1619393113
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28275 Issued in TX
Legal business name
QH ENTERPRISES, PLLC
Doing business as
Hermosa Dental
Practice address
4704 Airline Dr Ste a-1
Houston, TX 77022-3004
Phone
(408) 616-9175
NPI assigned
Mar 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Dr. Hieu Tin Nguyen Pham, DDS
Title
Manager
Phone
(408) 616-9175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 28275 TX Primary

Addresses

Primary practice location

4704 Airline Dr Ste a-1
Houston, TX 77022-3004

Mailing address

10623 Bellaire Blvd Ste C130
Houston, TX 77072-5245

Other names 1

  • Hermosa Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4704 Airline Dr
#A1
Houston, TX 77022
Phone (713) 695-1400

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1619393113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10623 BELLAIRE BLVD STE C130",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 AIRLINE DR STE A-1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770223004",
            "telephone_number": "408-616-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QH ENTERPRISES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "NGUYEN PHAM",
        "authorized_official_first_name": "HIEU",
        "authorized_official_middle_name": "TIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "408-616-9175",
        "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": "28275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hermosa Dental",
            "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 Mar 10, 2014; 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.