Organization Active NPI

Baylor Dental & Medical

  • Dentist
  • Houston, TX
National Provider Identifier
1861659542
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15708 Issued in TX
Legal business name
BAYLOR DENTAL & MEDICAL
Practice address
820 Holman St
Houston, TX 77002-9520
Phone
(713) 521-0525
Fax
(713) 481-5455
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. Hoa T Dang, M.D., P. A.
Title
Physician
Phone
(713) 521-0525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 15708 TX Primary

Addresses

Primary practice location

820 Holman St
Houston, TX 77002-9520

Mailing address

PO Box 771526
Houston, TX 77215-1526
Phone (713) 521-0525

Other identifiers 5

IdentifierTypeStateIssuer
009201701MedicaidTX
165940101MedicaidTX
120802705MedicaidTX
110948003MedicaidTX
036285702MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Baylor Dental Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1861659542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771526",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772151526",
            "telephone_number": "713-521-0525",
            "fax_number": "713-481-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 HOLMAN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029520",
            "telephone_number": "713-521-0525",
            "fax_number": "713-481-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR DENTAL & MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "HOA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "713-521-0525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P. A."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "15708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009201701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165940101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120802705",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110948003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036285702",
            "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 May 20, 2008; 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.