Active NPI
Haiying Zhang
- Dentist
- Manor, TX
National Provider Identifier
1689374266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 41736
- Practice address
- 12836 US Highway 290 E Ste 500
Manor, TX 78653-5522 - Phone
- (512) 815-3663
- NPI assigned
- Mar 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 41736 | TX | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
12836 US Highway 290 E Ste 500
Manor, TX 78653-5522
Mailing address
12836 US Highway 290 E Ste 500
Manor, TX 78653-5522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250918002900 | TX | Order and Referring Only - Dentist | 8921502337 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41736 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mydental at Manor PLLC | Dentist | Current | Accepting new patients |
Locations
12836 US Highway 290 E
Ste 500
Manor, TX 78653
Phone (512) 815-3663
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1689374266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12836 US HIGHWAY 290 E STE 500",
"city": "MANOR",
"state": "TX",
"postal_code": "786535522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12836 US HIGHWAY 290 E STE 500",
"city": "MANOR",
"state": "TX",
"postal_code": "786535522",
"telephone_number": "512-815-3663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHANG",
"first_name": "HAIYING",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-03",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "41736",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manor, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.