Organization Active NPI

HQ Dental Design PLLC

  • General Practice Dentistry
  • Georgetown, TX
National Provider Identifier
1952901753
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HQ DENTAL DESIGN PLLC
Practice address
3011 Dawn Dr # 105
Georgetown, TX 78628-2827
Phone
(512) 863-7561
NPI assigned
Oct 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Hiep Duy Pham, DMD
Title
Doctor
Phone
(949) 232-0236

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

3011 Dawn Dr # 105
Georgetown, TX 78628-2827

Mailing address

3011 Dawn Dr # 105
Georgetown, TX 78628-2827
Phone (949) 232-0236

National Provider Directory

National Provider Directory

Locations

3011 Dawn Dr
Ste 105
Georgetown, TX 78628
Phone (512) 863-7561

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": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1952901753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 DAWN DR # 105",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282827",
            "telephone_number": "949-232-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 DAWN DR # 105",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282827",
            "telephone_number": "512-863-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HQ DENTAL DESIGN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "HIEP",
        "authorized_official_middle_name": "DUY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "949-232-0236",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

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