Active NPI
Thuy Nguyen, DMD
- General Practice Dentistry
- Green Bay, WI
National Provider Identifier
1043663321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 34686
- Practice address
- 331 N Broadway
Green Bay, WI 54303-2701 - Phone
- (920) 965-0831
- NPI assigned
- Jul 21, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1001380-15 | WI | |
| General Practice Dentistry | 1223G0001X | 34686 | TX | Primary |
Addresses
Primary practice location
331 N Broadway
Green Bay, WI 54303-2701
Mailing address
4910 Founders Ter Apt 101
Hobart, WI 54155-7703
Phone (571) 255-0778
Other practice location 1
6226 14th Ave
Kenosha, WI 53143-4413
Phone (262) 656-0044
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 |
|---|---|---|---|
| 1001380-15 | WI | MD | Dentist |
| 34686 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545091200000",
"number": "1043663321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4910 FOUNDERS TER APT 101",
"city": "HOBART",
"state": "WI",
"postal_code": "541557703",
"telephone_number": "571-255-0778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 N BROADWAY",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543032701",
"telephone_number": "920-965-0831"
}
],
"practiceLocations": [
{
"address_1": "6226 14th Ave",
"address_purpose": "LOCATION",
"city": "Kenosha",
"state": "WI",
"postal_code": "531434413",
"country_code": "US",
"telephone_number": "262-656-0044",
"fax_number": "262-925-1680",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "THUY",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-21",
"last_updated": "2018-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "1001380-15",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "34686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.