Individual provider Active NPI

Hap V Nguyen Phuc, DDS

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1881718997
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22694 Issued in TX
Practice address
4601 N. Lamar Blvd
Suite# 503
Austin, TX 78751-2355
Phone
(512) 454-0300
NPI assigned
Mar 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22694 TX Primary

Addresses

Primary practice location

4601 N. Lamar Blvd
Suite# 503
Austin, TX 78751-2355

Mailing address

4601 N. Lamar Blvd
Suite# 503
Austin, TX 78751-2355
Phone (512) 454-0300

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

LicenseStateTypeSpecialty
22694TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hap V. Nguyen Phuc DDS PA 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.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1881718997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 N. LAMAR BLVD",
            "address_2": "SUITE# 503",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787512355",
            "telephone_number": "512-454-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 N. LAMAR BLVD",
            "address_2": "SUITE# 503",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787512355",
            "telephone_number": "512-454-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN PHUC",
        "first_name": "HAP",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.