Active NPI
Quyen Tu Huynh, DDS
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1881829653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 24546
- Practice address
- 3200 S Lancaster Rd Ste 183
Dallas, TX 75216-4555 - Phone
- (214) 375-9999
- Fax
- (214) 375-9997
- NPI assigned
- May 22, 2009
- Sex
- Female
- 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 | 24546 | TX | Primary |
Addresses
Primary practice location
3200 S Lancaster Rd Ste 183
Dallas, TX 75216-4555
Mailing address
4709 Ravendale Dr
Richardson, TX 75082-3838
Phone (469) 655-5221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201588506 | Medicaid | TX |
Other names 1
- Quyen Tu Vo
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150114000618 | TX | Order and Referring Only - Dentist | 9032433404 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultimate Care Management Services, Inc | Current | Accepting new patients | |
| Excel Dental Clinic PA | General Practice | Current | Accepting new patients |
| Excel Dental Clinic of Lancaster, PC | Current | Accepting new patients | |
| Excel Dental Clinic of Garland PA | General Practice | Current | Accepting new patients |
| Excel Dental Clinic of Forest Lane, P. C. | General Practice | Past | Accepting new patients |
Locations
3200 S Lancaster Rd
Ste 183
Dallas, TX 75216
Phone (214) 375-9999
1815 S 1st St
Ste H
Garland, TX 75040
Phone (972) 271-4500
Organizations & group practices 5
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.
-
- Dentist
- Dallas, TX
- NPI 1043531841
-
- Dental Clinic/Center
- Dallas, TX
- NPI 1720977465
-
- General Practice Dentistry
- Dallas, TX
- NPI 1649438979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1881829653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4709 RAVENDALE DR",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750823838",
"telephone_number": "469-655-5221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 S LANCASTER RD STE 183",
"city": "DALLAS",
"state": "TX",
"postal_code": "752164555",
"telephone_number": "214-375-9999",
"fax_number": "214-375-9997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "QUYEN",
"middle_name": "TU",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-22",
"last_updated": "2021-05-27",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "24546",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201588506",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "QUYEN",
"last_name": "VO",
"middle_name": "TU",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.