NPIMap

Organization Active NPI

Minhly Duy Nguyen DDS PA

  • General Practice Dentistry
  • Fresno, TX
National Provider Identifier
1033237656
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21485 Issued in TX
Legal business name
MINHLY DUY NGUYEN DDS PA
Practice address
12125 Highway 6 Ste D
Fresno, TX 77545-8844
Phone
(281) 431-8909
Fax
(281) 431-8985
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Mr. Minhly Duy Nguyen, DDSNPI 1194982991
Title
President
Phone
(281) 431-8909

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 21485 TX Primary

Addresses

Primary practice location

12125 Highway 6 Ste D
Fresno, TX 77545-8844

Mailing address

12125 Highway 6 Ste D
Fresno, TX 77545-8844
Phone (281) 431-8909

Other identifiers 1

IdentifierTypeStateIssuer
161994211MedicaidTX

Other names 1

  • Five Star Dentists Doing business as

National Provider Directory

National Provider Directory

Locations

12125 Highway 6
Ste D
Fresno, TX 77545
Phone (281) 431-8909

Practitioners & affiliated clinicians

Practitioners 8

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1033237656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12125 HIGHWAY 6 STE D",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775458844",
            "telephone_number": "281-431-8909",
            "fax_number": "281-431-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12125 HIGHWAY 6 STE D",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775458844",
            "telephone_number": "281-431-8909",
            "fax_number": "281-431-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINHLY DUY NGUYEN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MINHLY",
        "authorized_official_middle_name": "DUY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-431-8909",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161994211",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Star Dentists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.