Active NPI
Horatio Nguyen, DMD
- General Practice Dentistry
- Wheaton, MD
National Provider Identifier
1043930019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17654
- Practice address
- 11300 Veirs Mill Rd
Wheaton, MD 20902-2563 - Phone
- (301) 933-3366
- NPI assigned
- Aug 30, 2022
- Last updated
- Aug 30, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17654 | MD | Primary |
Addresses
Primary practice location
11300 Veirs Mill Rd
Wheaton, MD 20902-2563
Mailing address
9915 E Hill Dr
Lorton, VA 22079-2436
Phone (571) 451-5681
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 |
|---|---|---|---|
| 17654 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1043930019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9915 E HILL DR",
"city": "LORTON",
"state": "VA",
"postal_code": "220792436",
"telephone_number": "571-451-5681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11300 VEIRS MILL RD",
"city": "WHEATON",
"state": "MD",
"postal_code": "209022563",
"telephone_number": "301-933-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "HORATIO",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-30",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "17654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheaton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.