Millennial Monarch Club PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MILLENNIAL MONARCH CLUB PLLC

Practice address

15720 Woodland Hills Dr.
Suite 900
Humble, TX 77396

Phone

(281) 713-5156

Fax

(281) 713-5602

NPI assigned

Jan 13, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Tu M Doan, DDSNPI 1801373394

Title

Ceo

Phone

(469) 684-9105

Specialties & licenses 1

Addresses

Other names 1

• Prestige Dental of Humble Doing business as

Locations

Practitioners 2

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

• Tu Minh Doan, DDS

  • Dentist
  • Houston, TX
  • NPI 1801373394
  NPD Authorized official
• Son Thuy Nguyen, DDS

  • Dentist
  • Humble, TX
  • NPI 1487353074
  NPD

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1942914965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 WOODLAND HILLS DR.",
            "address_2": "SUITE 900",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "77396",
            "telephone_number": "281-713-5156",
            "fax_number": "281-713-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 WOODLAND HILLS DR.",
            "address_2": "SUITE 900",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "77396",
            "telephone_number": "281-713-5156",
            "fax_number": "281-713-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIAL MONARCH CLUB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "TU",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-684-9105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Dental of Humble",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Metro Spine Center PLLC
• Catherine Oudin Mettauer, LCSW
• Kelly Lisa Midkiff, COTA
• Gabriel Antonio Miguel Beltran, LPC-A
• Miles Mahan MD PA
• Brooke Miller
• Dominic Miller
• Morgan Elizabeth Miller, DPT
• Lindsey Marie Mills, O.D.
• Mimetic Wellness

• General Practice Dentistry in Humble, TX
• Providers in Humble, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.