NPIMap

Organization Active NPI

Dr Allan T Nguyen LLC

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1003106519
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6979 Issued in AZ
Legal business name
DR ALLAN T NGUYEN LLC
Practice address
66 S Dobson Rd
Ste # 144
Mesa, AZ 85202
Phone
(480) 969-1550
Fax
(480) 969-5550
NPI assigned
Apr 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Authorized official

Name
Dr. Allan T Nguyen, DDSNPI 1578628491
Title
Owner/Dentist
Phone
(480) 962-1550

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 D6979 AZ Primary

Addresses

Primary practice location

66 S Dobson Rd
Ste # 144
Mesa, AZ 85202

Mailing address

66 S Dobson Rd
Ste # 144
Mesa, AZ 85202
Phone (480) 969-1550

Other identifiers 2

IdentifierTypeStateIssuer
210539MedicaidAZ
2053820OtherAZUCCI

Other names 1

  • Hi Tech Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

66 S Dobson Rd
Ste 144
Mesa, AZ 85202
Phone (480) 969-1550

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": "1303084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1003106519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 S DOBSON RD",
            "address_2": "STE # 144",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85202",
            "telephone_number": "480-969-1550",
            "fax_number": "480-969-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 S DOBSON RD",
            "address_2": "STE # 144",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85202",
            "telephone_number": "480-969-1550",
            "fax_number": "480-969-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ALLAN T NGUYEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-18",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "480-962-1550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210539",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "2053820",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hi Tech Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.