Active NPI
Long Vuong DO, D.D.S.
- General Practice Dentistry
- Cypress, TX
National Provider Identifier
1871717645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 21221
- Practice address
- 7955 Barker Cypress
St #1000
Cypress, TX 77433 - Phone
- (832) 512-9219
- NPI assigned
- Apr 12, 2007
- Last updated
- Nov 2, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21221 | TX | Primary |
Addresses
Primary practice location
7955 Barker Cypress
St #1000
Cypress, TX 77433
Mailing address
4706 Autumn Pine LN
Houston, TX 77084-7165
Phone (832) 512-9219
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173779301 | Medicaid | TX | |
| G6012001 | Other | TX | TEXAS CHIP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21221 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Al Dental PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Cypress, TX
- NPI 1437521911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446422400000",
"number": "1871717645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4706 AUTUMN PINE LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770847165",
"telephone_number": "832-512-9219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7955 BARKER CYPRESS",
"address_2": "ST #1000",
"city": "CYPRESS",
"state": "TX",
"postal_code": "77433",
"telephone_number": "832-512-9219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "LONG",
"middle_name": "VUONG",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2015-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "21221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173779301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS CHIP",
"identifier": "G6012001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.