Organization Active NPI

Anthony Anhtuan Ly D.D.S., P.a.

  • Preferred Provider Organization
  • Houston, TX
National Provider Identifier
1770857039
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
18013 Issued in TX
Legal business name
ANTHONY ANHTUAN LY D.D.S., P.A.
Practice address
840 N Eldridge Pkwy
Suite 100
Houston, TX 77079-2704
Phone
(281) 558-3759
Fax
(281) 558-6484
NPI assigned
Mar 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Rashay Strambler
Title
Office Manager
Phone
(281) 558-3759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 18013 TX Primary

Addresses

Primary practice location

840 N Eldridge Pkwy
Suite 100
Houston, TX 77079-2704

Mailing address

840 N Eldridge Pkwy
Suite 100
Houston, TX 77079-2704
Phone (281) 558-3759

National Provider Directory

National Provider Directory

Locations

840 N Eldridge Pkwy
Ste 100
Houston, TX 77079
Phone (281) 558-3759

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1770857039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 N ELDRIDGE PKWY",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792704",
            "telephone_number": "281-558-3759",
            "fax_number": "281-558-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 N ELDRIDGE PKWY",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792704",
            "telephone_number": "281-558-3759",
            "fax_number": "281-558-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY ANHTUAN LY D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "STRAMBLER",
        "authorized_official_first_name": "RASHAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-558-3759"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "18013",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 5, 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.