Organization Active NPI

Bellaire Dentists PA

  • Dentist
  • Houston, TX
National Provider Identifier
1831599703
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21485 Issued in TX
Legal business name
BELLAIRE DENTISTS PA
Practice address
5720 Bellaire Blvd Ste D
Houston, TX 77081-5513
Phone
(713) 668-5437
Fax
(713) 668-5433
NPI assigned
Aug 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Dr. Minhly D Nguyen, DDS
Title
President
Phone
(713) 668-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 21485 TX Primary

Addresses

Primary practice location

5720 Bellaire Blvd Ste D
Houston, TX 77081-5513

Mailing address

5720 Bellaire Blvd Ste D
Houston, TX 77081-5513
Phone (713) 668-5437

Other names 1

  • Wild Smiles Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1831599703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 BELLAIRE BLVD STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770815513",
            "telephone_number": "713-668-5437",
            "fax_number": "713-668-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 BELLAIRE BLVD STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770815513",
            "telephone_number": "713-668-5437",
            "fax_number": "713-668-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLAIRE DENTISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MINHLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-668-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "21485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wild Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 28, 2014; 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.