Active NPI
Huong Kim Nguyen, DDS
- Dentist
- Houston, TX
National Provider Identifier
1831258508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16986
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831258508 | Medicaid | TX | |
| 1891354072 | Medicaid | TX | |
| 1861554198 | Medicaid | TX | |
| 1861854154 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160224001787 | TX | Order and Referring Only - 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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16986 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adc Services : Dental P.C | Dentist | Current | Accepting new patients |
| Allied Family Dentistry P.C | Dentist | Current | Accepting new patients |
| Bhim DDS PLLC | Dentist | Past | 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.
-
- Dentist
- Houston, TX
- NPI 1891854154
-
- Dentist
- Sugar Land, TX
- NPI 1891354072
-
- Dentist
- Sugar Land, TX
- NPI 1487466298
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.