Active NPI
Phantastic Family Dental Care PA
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1972884237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19016
- Legal business name
- PHANTASTIC FAMILY DENTAL CARE PA
- Practice address
- 16 Uvalde Rd
F
Houston, TX 77015-1438 - Phone
- (713) 330-4138
- Fax
- (713) 330-4148
- NPI assigned
- Aug 31, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Minh Phan, DDS
- Title
- Dentist/President
- Phone
- (713) 330-4138
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19016 | TX | Primary |
Addresses
Primary practice location
16 Uvalde Rd
F
Houston, TX 77015-1438
Mailing address
16 Uvalde Rd
F
Houston, TX 77015-1438
Phone (713) 330-4138
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314748800000",
"number": "1972884237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 UVALDE RD",
"address_2": "F",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770151438",
"telephone_number": "713-330-4138",
"fax_number": "713-330-4148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 UVALDE RD",
"address_2": "F",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770151438",
"telephone_number": "713-330-4138",
"fax_number": "713-330-4148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHANTASTIC FAMILY DENTAL CARE PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-31",
"last_updated": "2011-08-31",
"status": "A",
"authorized_official_last_name": "PHAN",
"authorized_official_first_name": "MINH",
"authorized_official_title_or_position": "DENTIST/PRESIDENT",
"authorized_official_telephone_number": "713-330-4138",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "19016",
"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 Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.