Individual provider Active NPI

Andreas P Xydas, DDS

  • Dentist
  • Houston, TX
National Provider Identifier
1881616902
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18575 Issued in TX
Practice address
15951 FM 529 Rd
Suite 140
Houston, TX 77095-2696
Phone
(281) 345-4200
Fax
(281) 345-4211
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 18575 TX Primary

Addresses

Primary practice location

15951 FM 529 Rd
Suite 140
Houston, TX 77095-2696

Mailing address

15951 FM 529 Rd
Suite 140
Houston, TX 77095-2696
Phone (281) 345-4200

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
I20160413000434 TX Order and Referring Only - DentistPractitioner - Dentist 0143528810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Dental, PLLC Dentist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1881616902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15951 FM 529 RD",
            "address_2": "SUITE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952696",
            "telephone_number": "281-345-4200",
            "fax_number": "281-345-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15951 FM 529 RD",
            "address_2": "SUITE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952696",
            "telephone_number": "281-345-4200",
            "fax_number": "281-345-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XYDAS",
        "first_name": "ANDREAS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "18575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.