Individual provider Active NPI

Meherun Nessa Huque, DDS

  • General Practice Dentistry
  • Pasadena, TX
National Provider Identifier
1801972849
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16429 Issued in TX
Practice address
2019 Shaver St
Pasadena, TX 77502-3635
Phone
(713) 477-2900
Fax
(713) 477-2995
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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 16429 TX Primary

Addresses

Primary practice location

2019 Shaver St
Pasadena, TX 77502-3635

Mailing address

2019 Shaver St
Pasadena, TX 77502-3635
Phone (713) 477-2900

Other identifiers 1

IdentifierTypeStateIssuer
111029804MedicaidTX

Other names 1

  • Dr. Meherun Nessa Huque Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160429001596 TX Order and Referring Only - DentistPractitioner - Dentist 1759680499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16429TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1801972849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 SHAVER ST",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775023635",
            "telephone_number": "713-477-2900",
            "fax_number": "713-477-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 SHAVER ST",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775023635",
            "telephone_number": "713-477-2900",
            "fax_number": "713-477-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUQUE",
        "first_name": "MEHERUN",
        "middle_name": "NESSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111029804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEHERUN",
            "last_name": "HUQUE",
            "middle_name": "NESSA",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.