Active NPI
Huy Phan Nguyen, DDS
- General Practice Dentistry
- Pasadena, TX
National Provider Identifier
1629020060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20253
- Practice address
- 916 Harris Ave
Pasadena, TX 77506-4708 - Phone
- (713) 534-0209
- Fax
- (713) 534-8800
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20253 | TX | Primary |
Addresses
Primary practice location
916 Harris Ave
Pasadena, TX 77506-4708
Mailing address
916 Harris Ave
Pasadena, TX 77506-4708
Phone (713) 534-0209
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1429847-06 | Medicaid | TX | |
| 1429847-04 | Medicaid | TX | |
| 1429847-08 | Medicaid | TX | |
| 1429847-05 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20253 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huy P Nguyen DDS PA | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Pasadena, TX
- NPI 1275716862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354060800000",
"number": "1629020060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 HARRIS AVE",
"city": "PASADENA",
"state": "TX",
"postal_code": "775064708",
"telephone_number": "713-534-0209",
"fax_number": "713-534-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 HARRIS AVE",
"city": "PASADENA",
"state": "TX",
"postal_code": "775064708",
"telephone_number": "713-534-0209",
"fax_number": "713-534-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "HUY",
"middle_name": "PHAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2012-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "20253",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1429847-06",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1429847-04",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1429847-08",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1429847-05",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.