Johnie M Nguyen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22585 Issued in TX

Practice address

1020 Flower Mound Rd Ste 110
Flower Mound, TX 75028-3440

Phone

(972) 355-8568

Fax

(972) 355-8596

NPI assigned

Jan 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Daisy Dental P.C.

  • Dental Clinic/Center
  • Hickory Creek, TX
  • NPI 1104117241
  NPD (past) Authorized official
• Dazzle Dental Care, PA

  • Dentist
  • Flower Mound, TX
  • NPI 1043479066
  NPD (past) Authorized official
• Ryan, James, Wiles, Patel & Olsen LLP

  dba Southeastern Dental Specialists

  • Dentist
  • Fayetteville, NC
  • NPI 1346473279
  NPD (past)
• Ryan, James, Wiles, Patel & Olsen LLP

  dba Village Family Dental

  • Dentist
  • Fayetteville, NC
  • NPI 1750495693
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1013995505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 FLOWER MOUND RD STE 500",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283251",
            "telephone_number": "972-355-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 FLOWER MOUND RD STE 110",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283440",
            "telephone_number": "972-355-8568",
            "fax_number": "972-355-8596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3970 Fm 2181 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hickory Creek",
            "state": "TX",
            "postal_code": "750654249",
            "country_code": "US",
            "telephone_number": "940-497-6453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JOHNIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2023-03-07",
        "certification_date": "2020-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018456",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7722",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190019302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New View Optometry, PLLC
• Newlife Bridge Counseling PLLC
• Cassie Louise Newton, LPC-A
• Nextgen Counseling, PLLC
• Diem Khanh Nguyen, RPH
• Linda Nguyen, COTA
• Lisa Nguyen, PA
• Long Van Nguyen, MD
• Mery Linh Nguyen
• Vivi Nguyen, PHARMD

• General Practice Dentistry in Flower Mound, TX
• Providers in Flower Mound, 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 Mar 7, 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.