Organization Active NPI

Sugar Land Family Dentistry

  • General Practice Dentistry
  • Sugar Land, TX
National Provider Identifier
1922412311
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SUGAR LAND FAMILY DENTISTRY
Practice address
4724 Sweetwater Blvd Ste 100
Sugar Land, TX 77479-3150
Phone
(281) 565-0808
Fax
(281) 494-2404
NPI assigned
Jun 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Authorized official

Name
Donny NguyenNPI 1619282886
Title
DDS
Phone
(281) 763-9059

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4724 Sweetwater Blvd Ste 100
Sugar Land, TX 77479-3150

Mailing address

4724 Sweetwater Blvd Ste 100
Sugar Land, TX 77479-3150
Phone (281) 565-0808

Other identifiers 1

IdentifierTypeStateIssuer
3274821MedicaidTX

National Provider Directory

National Provider Directory

Locations

4724 Sweetwater Blvd
Ste 100
Sugar Land, TX 77479
Phone (281) 565-0808

Practitioners & affiliated clinicians

Practitioners 2

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": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1922412311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 SWEETWATER BLVD STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793150",
            "telephone_number": "281-565-0808",
            "fax_number": "281-494-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 SWEETWATER BLVD STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793150",
            "telephone_number": "281-565-0808",
            "fax_number": "281-494-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGAR LAND FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DONNY",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "281-763-9059"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3274821",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.