Individual provider Active NPI

Huong Kim Nguyen, DDS

  • Dentist
  • Houston, TX
National Provider Identifier
1831258508
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16986 Issued in TX
Practice address
11001 Fondren Rd Ste B
Houston, TX 77096-5676
Phone
(713) 773-9800
Fax
(713) 773-9800
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16986 TX
Dentist 122300000X 16986 TX Primary

Addresses

Primary practice location

11001 Fondren Rd Ste B
Houston, TX 77096-5676

Mailing address

11001 Fondren Road
Suite B
Houston, TX 77096
Phone (713) 773-9800

Other practice location 1

12921 W Bellfort Ave
Sugar Land, TX 77478-1838
Phone (281) 240-1177

Other identifiers 4

IdentifierTypeStateIssuer
1831258508MedicaidTX
1891354072MedicaidTX
1861554198MedicaidTX
1861854154MedicaidTX

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
I20160224001787 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3779888052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
16986TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adc Services : Dental P.C Dentist CurrentSince Aug 1, 2021 Accepting new patients
Allied Family Dentistry P.C Dentist CurrentSince Jul 1, 2021 Accepting new patients
Bhim DDS PLLC Dentist PastSince Jan 26, 2025 Accepting new patients

Locations

11001 Fondren Rd
Ste B
Houston, TX 77096
Phone (713) 773-9800

12921 W Bellfort Ave
Sugar Land, TX 77478
Phone (281) 240-1177

Organizations & group practices 3

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1831258508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 FONDREN ROAD",
            "address_2": "SUITE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77096",
            "telephone_number": "713-773-9800",
            "fax_number": "713-773-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 FONDREN RD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770965676",
            "telephone_number": "713-773-9800",
            "fax_number": "713-773-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12921 W Bellfort Ave",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774781838",
            "country_code": "US",
            "telephone_number": "281-240-1177",
            "fax_number": "713-773-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HUONG",
        "middle_name": "KIM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16986",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "16986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831258508",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891354072",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861554198",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861854154",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.