Organization Active NPI

Duong Dental P.C.

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1801819545
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20629 Issued in TX
Legal business name
DUONG DENTAL P.C.
Practice address
11210 - B Veterans Memorial
Houston, TX 77067
Phone
(281) 447-1223
Fax
(281) 447-8070
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Phong Quoc Duong, DDSNPI 1801933387
Title
President
Phone
(281) 447-1223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20629 TX Primary

Addresses

Primary practice location

11210 - B Veterans Memorial
Houston, TX 77067

Mailing address

11210 Veterans Memorial
Suite B
Houston, TX 77067-3758
Phone (281) 447-1223

Other identifiers 2

IdentifierTypeStateIssuer
B-20629-1OtherTXTEXAS CHIP
89D478OtherTXBLUECROSS & BLUESHIELD

National Provider Directory

National Provider Directory

Locations

11210 Veterans Memorial Dr
#B
Houston, TX 77067
Phone (281) 447-1223

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": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801819545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11210 VETERANS MEMORIAL",
            "address_2": "SUITE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770673758",
            "telephone_number": "281-447-1223",
            "fax_number": "281-447-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11210 - B VETERANS MEMORIAL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77067",
            "telephone_number": "281-447-1223",
            "fax_number": "281-447-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUONG DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "PHONG",
        "authorized_official_middle_name": "QUOC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-447-1223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS CHIP",
            "identifier": "B-20629-1",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS & BLUESHIELD",
            "identifier": "89D478",
            "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 Aug 22, 2020; 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.