Individual provider Active NPI

Haiying Zhang

  • Dentist
  • Manor, TX
National Provider Identifier
1689374266
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41736 Issued in TX
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

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250918002900 TX Order and Referring Only - DentistPractitioner - Dentist 8921502337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41736TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mydental at Manor PLLC Dentist CurrentSince Nov 7, 2025 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

Verify at the official NPI Registry.