Active NPI
Andino Nguyen, DMD
- Dentist
- Port St Lucie, FL
National Provider Identifier
1033041215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN31653
- Practice address
- 2729 SE Morningside Blvd
Port St Lucie, FL 34952-5705 - Phone
- (772) 621-2123
- Fax
- (772) 291-6744
- NPI assigned
- Jun 1, 2026
- Last updated
- Jun 1, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN31653 | FL | Primary |
Addresses
Primary practice location
2729 SE Morningside Blvd
Port St Lucie, FL 34952-5705
Mailing address
2729 SE Morningside Blvd
Port St Lucie, FL 34952-5705
Phone (772) 621-2123
Other practice location 1
11924 Forest Hill Blvd Ste 10
Wellington, FL 33414-6200
Phone (561) 721-2688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN31653 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 4 No Dental PA | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Wellington, FL
- NPI 1740997360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1033041215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2729 SE MORNINGSIDE BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349525705",
"telephone_number": "772-621-2123",
"fax_number": "772-291-6744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2729 SE MORNINGSIDE BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349525705",
"telephone_number": "772-621-2123",
"fax_number": "772-291-6744"
}
],
"practiceLocations": [
{
"address_1": "11924 Forest Hill Blvd Ste 10",
"address_purpose": "LOCATION",
"city": "Wellington",
"state": "FL",
"postal_code": "334146200",
"country_code": "US",
"telephone_number": "561-721-2688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "ANDINO",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-01",
"last_updated": "2026-06-01",
"certification_date": "2026-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN31653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.