Individual provider Active NPI

Tuan Minh Nhu, DDS

  • Dentist
  • Germantown, MD
National Provider Identifier
1033402664
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14980 Issued in MD
Practice address
19330 Liberty Mill Rd
Germantown, MD 20874-1497
Phone
(301) 428-3211
NPI assigned
May 16, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14980 MD Primary
Dentist 122300000X 0401413803 VA

Addresses

Primary practice location

19330 Liberty Mill Rd
Germantown, MD 20874-1497

Mailing address

21103 Tulip Poplar Way
Germantown, MD 20876-6066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150610001133 MD Order and Referring Only - DentistPractitioner - Dentist 5193046530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14980MDMDDentist
0401413803VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tuan Nhu, DDS, LLC CurrentSince Dec 22, 2024 Accepting new patients

Locations

19330 Liberty Mill Rd
Germantown, MD 20874
Phone (301) 428-3211

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.

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1033402664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21103 TULIP POPLAR WAY",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208766066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19330 LIBERTY MILL RD",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741497",
            "telephone_number": "301-428-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NHU",
        "first_name": "TUAN",
        "middle_name": "MINH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-16",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14980",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413803",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.