Individual provider Active NPI

Patrick Vuong, D.M.D.

  • General Practice Dentistry
  • Crosby, TX
National Provider Identifier
1790191153
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30218 Issued in TX
Practice address
14045 FM 2100 Rd., Ste. 250
Crosby, TX 77532-6134
Phone
(281) 716-2925
NPI assigned
Jul 7, 2014
Last updated
Feb 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30218 TX
General Practice Dentistry 1223G0001X 30218 TX Primary

Addresses

Primary practice location

14045 FM 2100 Rd., Ste. 250
Crosby, TX 77532-6134

Mailing address

911 E Tide Bay Cir
Katy, TX 77494-1639
Phone (281) 716-2925

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
30218TXMDCritical Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Vuong Dentistry DMD PLLC General Practice Current Accepting new patients
Smile Avenue Family Dentistry Cinco Ranch General Practice Current Accepting new patients

Locations

9212 Fry Rd
Ste 120
Cypress, TX 77433
Phone (832) 645-5055

Organizations & group practices 2

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": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1790191153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E TIDE BAY CIR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941639",
            "telephone_number": "281-716-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14045 FM 2100 RD., STE. 250",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775326134",
            "telephone_number": "281-716-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUONG",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-07",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30218",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crosby, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.