Organization Active NPI

Wallisville Braces, PLLC

  • Dental Clinic/Center
  • Houston, TX
National Provider Identifier
1891311510
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WALLISVILLE BRACES, PLLC
Practice address
14570 Wallisville Rd Ste 1
Houston, TX 77049-4300
Phone
(832) 858-8916
NPI assigned
Jun 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Authorized official

Name
Dr. Khoi Nguyen, DDS
Title
Dentist
Phone
(832) 858-8916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

14570 Wallisville Rd Ste 1
Houston, TX 77049-4300

Mailing address

14570 Wallisville Rd Ste 1
Houston, TX 77049-4300
Phone (832) 858-8916

National Provider Directory

National Provider Directory

Locations

14570 Wallisville Rd
Ste 1
Houston, TX 77049
Phone (713) 464-1051

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1891311510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14570 WALLISVILLE RD STE 1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770494300",
            "telephone_number": "832-858-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14570 WALLISVILLE RD STE 1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770494300",
            "telephone_number": "832-858-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLISVILLE BRACES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KHOI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "832-858-8916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 18, 2020; 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.