Thien Van Nguyen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29690 Issued in TX

Practice address

2615 W Pioneer Pkwy Ste 102
Grand Prairie, TX 75051-3602

Phone

(714) 352-9273

NPI assigned

Aug 28, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edc Dental Center PLLC

  • General Practice Dentistry
  • Ennis, TX
  • NPI 1518714088
  NPD Authorized official
• THN Dental 2023 PLLC

  • General Practice Dentistry
  • Grand Prairie, TX
  • NPI 1336859032
  NPD Authorized official
• Vu & Thien Dental Company, PLLC

  • Dentist
  • Grand Prairie, TX
  • NPI 1386180446
  NPD (past)

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1053745927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 W PIONEER PKWY STE 102",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750513602",
            "telephone_number": "972-352-2980",
            "fax_number": "972-352-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 W PIONEER PKWY STE 102",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750513602",
            "telephone_number": "714-352-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THIEN",
        "middle_name": "VAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-28",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29690",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "50 056913",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quang Duy Nguyen, O.D.
• Quyen Nguyen
• Sheena Nguyen, PHARMD
• Teresa Nguyen
• Thai-an Nguyen, O.D.
• Tri Nguyen, DDS
• Vanna Kim Nguyen, DDS
• Vu Van Nguyen, D.D.S.
• Victor Muna Ngwanah
• Yvonne Ngwanah

• General Practice Dentistry in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.