Organization Active NPI

Stafford Dentists PA

  • Dental Anesthesiology
  • Houston, TX
National Provider Identifier
1649670357
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
Legal business name
STAFFORD DENTISTS PA
Doing business as
FIVE STAR DENTISTS
Practice address
11615 Southwest Fwy
Houston, TX 77031
Phone
(281) 564-0117
Fax
(281) 564-0132
NPI assigned
Aug 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Mrs. Minhly Duy Nguyen, DDS
Title
Ceo
Phone
(281) 564-0117

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Dental AnesthesiologyGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0004X Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X

Addresses

Primary practice location

11615 Southwest Fwy
Houston, TX 77031

Mailing address

11615 Southwest Fwy
Houston, TX 77031
Phone (281) 564-0117

Other identifiers 1

IdentifierTypeStateIssuer
331530101MedicaidTX

Other names 1

  • FIVE STAR DENTISTS Doing business as

National Provider Directory

National Provider Directory

Locations

11615 Southwest Fwy
Houston, TX 77031
Phone (281) 564-0117

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1649670357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 SOUTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77031",
            "telephone_number": "281-564-0117",
            "fax_number": "281-564-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11615 SOUTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77031",
            "telephone_number": "281-564-0117",
            "fax_number": "281-564-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD DENTISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MINHLY",
        "authorized_official_middle_name": "DUY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-564-0117",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331530101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIVE STAR DENTISTS",
            "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 Jan 15, 2025; 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.