Individual provider Active NPI

Lee Tan Huynh, D.D.S

  • General Practice Dentistry
  • Richmond, TX
National Provider Identifier
1679986491
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31535 Issued in TX
Practice address
18502 W Bellfort St Ste 112
Richmond, TX 77407-9003
Phone
(832) 378-7870
Fax
(281) 903-7488
NPI assigned
Jun 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 31535 TX
Dentist 122300000X 6481 LA
General Practice Dentistry 1223G0001X 31535 TX Primary

Addresses

Primary practice location

18502 W Bellfort St Ste 112
Richmond, TX 77407-9003

Mailing address

16807 Keppie Way
Richmond, TX 77407-1516
Phone (504) 301-7084

Other practice location 1

12168 Bellaire Blvd Ste 100
Houston, TX 77072-2642
Phone (281) 400-1111

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

LicenseStateTypeSpecialty
6481LAMDProfessional Counselor
31535TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
LT Dentistry, PLLC Dentist CurrentSince Mar 16, 2021 Accepting new patients
Fresh Ortho Care, PLLC PastSince Nov 1, 2019 Accepting new patients

Locations

18502 W Bellfort St
Ste 112
Richmond, TX 77407
Phone (832) 378-7870

Organizations & group practices 2

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1679986491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16807 KEPPIE WAY",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071516",
            "telephone_number": "504-301-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18502 W BELLFORT ST STE 112",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774079003",
            "telephone_number": "832-378-7870",
            "fax_number": "281-903-7488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12168 Bellaire Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770722642",
            "country_code": "US",
            "telephone_number": "281-400-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "LEE",
        "middle_name": "TAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31535",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6481",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.