Individual provider Active NPI

Tung T Huynh, D.D.S.

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1831328178
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0024830 Issued in TX
Practice address
4407D FM 1960 West
Houston, TX 77068
Phone
(281) 397-6161
Fax
(281) 397-6161
NPI assigned
Jul 8, 2009
Last updated
May 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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 0024830 TX Primary

Addresses

Primary practice location

4407D FM 1960 West
Houston, TX 77068

Mailing address

4407 FM 1960 Rd W Ste D
Houston, TX 77068-3409
Phone (281) 397-6161

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
I20200402002690 TX Practitioner - Oral SurgeryPractitioner - Dentist 6305275926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024830TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1831328178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 FM 1960 RD W STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770683409",
            "telephone_number": "281-397-6161",
            "fax_number": "281-397-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407D FM 1960 WEST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77068",
            "telephone_number": "281-397-6161",
            "fax_number": "281-397-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "TUNG",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0024830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.