Organization Active NPI

Bella Dental Conroe

  • Dentist
  • Conroe, TX
National Provider Identifier
1689929325
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19871 Issued in TX
Legal business name
BELLA DENTAL CONROE
Practice address
2104 N Frazier St
Suite 140
Conroe, TX 77301-1246
Phone
(832) 788-4922
NPI assigned
Jul 18, 2012
Last updated
Jul 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Timothy Nguyen, DDS
Title
President
Phone
(832) 788-4922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19871 TX Primary

Addresses

Primary practice location

2104 N Frazier St
Suite 140
Conroe, TX 77301-1246

Mailing address

2104 N Frazier St
Suite 140
Conroe, TX 77301-1246
Phone (832) 788-4922

National Provider Directory

National Provider Directory

Locations

2104 N Frazier St
Ste 140
Conroe, TX 77301
Phone (832) 788-4922

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1689929325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 N FRAZIER ST",
            "address_2": "SUITE 140",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011246",
            "telephone_number": "832-788-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 N FRAZIER ST",
            "address_2": "SUITE 140",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011246",
            "telephone_number": "832-788-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA DENTAL CONROE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-788-4922",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "19871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.

Verify at the official NPI Registry.