Active NPI
Hieu Phuong Nguyen
- Dentist
- Fairfax, VA
National Provider Identifier
1033408307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401412564
- Practice address
- 8303 Arlington Blvd
107
Fairfax, VA 22031-2903 - Phone
- (703) 226-2222
- NPI assigned
- Apr 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 0401412564 | VA | Primary |
Addresses
Primary practice location
8303 Arlington Blvd
107
Fairfax, VA 22031-2903
Mailing address
9999 Broadsword Dr
Bristow, VA 20136-2610
Phone (571) 338-4552
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 |
|---|---|---|---|
| 0401412564 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302134400000",
"number": "1033408307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9999 BROADSWORD DR",
"city": "BRISTOW",
"state": "VA",
"postal_code": "201362610",
"telephone_number": "571-338-4552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8303 ARLINGTON BLVD",
"address_2": "107",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312903",
"telephone_number": "703-226-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "HIEU",
"middle_name": "PHUONG",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-07",
"last_updated": "2011-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401412564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.