Individual provider Active NPI

Hanah H Nguyen

  • Dentist
  • Dallas, TX
National Provider Identifier
1053847368
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19762 Issued in TX
Practice address
3628 Frankford Rd Ste 235
Dallas, TX 75287-6165
Phone
(972) 820-6050
Fax
(972) 820-5709
NPI assigned
May 5, 2017
Reactivated
Oct 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19762 TX Primary

Addresses

Primary practice location

3628 Frankford Rd Ste 235
Dallas, TX 75287-6165

Mailing address

3628 Frankford Rd Ste 235
Dallas, TX 75287-6165
Phone (972) 820-6050

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

LicenseStateTypeSpecialty
19762TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Abbie Anna Dental, PLLC Dentist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1053847368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 FRANKFORD RD STE 235",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876165",
            "telephone_number": "972-820-6050",
            "fax_number": "972-820-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 FRANKFORD RD STE 235",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876165",
            "telephone_number": "972-820-6050",
            "fax_number": "972-820-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HANAH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-05",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "deactivation_date": "2017-06-06",
        "reactivation_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "19762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.