Active NPI
Vivian Anh Mai, DMD
- General Practice Dentistry
- Spring, TX
National Provider Identifier
1922681402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 38726
- Practice address
- 6710 Spring Stuebner Rd Ste 700
Spring, TX 77389-5197 - Phone
- (281) 791-0043
- NPI assigned
- May 3, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 38726 | TX | Primary |
Addresses
Primary practice location
6710 Spring Stuebner Rd Ste 700
Spring, TX 77389-5197
Mailing address
20602 Spring Mission LN
Spring, TX 77388-5366
Phone (201) 238-1166
Other practice location 1
5645 Main St
Flushing, NY 11355-5045
Phone (718) 670-1060
Other practice location 2
17411 Horace Harding Expy
Fresh Meadows, NY 11365-1527
Phone (718) 670-1060
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38726 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spring Klein Dentistry,PC | 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": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1922681402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20602 SPRING MISSION LN",
"city": "SPRING",
"state": "TX",
"postal_code": "773885366",
"telephone_number": "201-238-1166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6710 SPRING STUEBNER RD STE 700",
"city": "SPRING",
"state": "TX",
"postal_code": "773895197",
"telephone_number": "281-791-0043"
}
],
"practiceLocations": [
{
"address_1": "5645 Main St",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "113555045",
"country_code": "US",
"telephone_number": "718-670-1060",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17411 Horace Harding Expy",
"address_purpose": "LOCATION",
"city": "Fresh Meadows",
"state": "NY",
"postal_code": "113651527",
"country_code": "US",
"telephone_number": "718-670-1060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAI",
"first_name": "VIVIAN",
"middle_name": "ANH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-03",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "38726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.