Tina Gam Nguyen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

0401418021 Issued in VA

Practice address

8140 Stonewall Shops SQ
Gainesville, VA 20155-3891

Phone

(571) 298-8279

NPI assigned

Jul 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dentists of Gainesville, PC

  • Dentist
  • Gainesville, VA
  • NPI 1023546611
  NPD (past)
• GD VA PLLC

  dba Fairfax Dental Esthetics

  • General Practice Dentistry
  • Vienna, VA
  • NPI 1871139519
  NPD (past)

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

{
    "created_epoch": "1657929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657929600000",
    "number": "1013641836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7231 BONA VISTA CT",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221503056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 STONEWALL SHOPS SQ",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553891",
            "telephone_number": "571-298-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TINA",
        "middle_name": "GAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-16",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401418021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Vision Transportation LLC
• Iris Y Newsome-Randall, FNP
• Winifred Ngeh
• Emerald Nguyen
• Linh K Nguyen
• NMG Affiliate Practice I, LLC (Novant Health UVA Health System Bristow Run Family Medicine)
• NMG Affiliate Practice I, LLC (Novant Health UVA Health System Olde Towne Pediatrics)
• Chimezie Nnoruka
• Lovena Noelsaint
• Bernadette E Noisette, MD

• Dentist in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.

Verify at the official NPI Registry.