Individual provider Active NPI

Ngoc Kim Khuu, D.D.S.

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1730277146
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22521 Issued in TX
Practice address
10139 Hammerly Blvd
Houston, TX 77080
Phone
(713) 465-0099
Fax
(713) 465-0094
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22521 TX Primary

Addresses

Primary practice location

10139 Hammerly Blvd
Houston, TX 77080

Mailing address

10139 Hammerly Blvd
Houston, TX 77080
Phone (713) 465-0099

Other identifiers 1

IdentifierTypeStateIssuer
1779613-09MedicaidTX

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
22521TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
NK Dental, P.a. General Practice Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730277146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10139 HAMMERLY BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77080",
            "telephone_number": "713-465-0099",
            "fax_number": "713-465-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10139 HAMMERLY BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77080",
            "telephone_number": "713-465-0099",
            "fax_number": "713-465-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHUU",
        "first_name": "NGOC",
        "middle_name": "KIM",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1779613-09",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2022; 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.