Organization Active NPI

Phong Nguyen D.D.S. PC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1861637951
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24553 Issued in TX
Legal business name
PHONG NGUYEN D.D.S. PC
Practice address
9595 Jones Rd.
Houston, TX 77065
Phone
(281) 955-2800
Fax
(281) 955-5353
NPI assigned
Dec 3, 2008
Organization subpart
Yes
Parent organization
PHONG NGUYEN D.D.SAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Authorized official

Name
Dr. Phong Thanh Nguyen, DDS
Title
President
Phone
(281) 955-2800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 22398 TX
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 24553 TX Primary

Addresses

Primary practice location

9595 Jones Rd.
Houston, TX 77065

Mailing address

9595 Jones Rd
Houston, TX 77065
Phone (281) 955-2800

Other names 1

  • Steeplechase Dental Doing business as

National Provider Directory

National Provider Directory
Part of
Phong Nguyen DDS PC

Locations

9595 Jones Rd
Houston, TX 77065
Phone (281) 955-2800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1861637951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9595 JONES RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77065",
            "telephone_number": "281-955-2800",
            "fax_number": "281-955-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9595 JONES RD.",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77065",
            "telephone_number": "281-955-2800",
            "fax_number": "281-955-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHONG NGUYEN D.D.S. PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHONG NGUYEN D.D.S",
        "enumeration_date": "2008-12-03",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PHONG",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-955-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22398",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steeplechase Dental",
            "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 15, 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.