Organization Active NPI

Trang Thu Nguyen, DPM, PA

  • Podiatrist
  • Richardson, TX
National Provider Identifier
1063694909
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1688 Issued in TX
Legal business name
TRANG THU NGUYEN, DPM, PA
Practice address
100 S Cottonwood Dr
Suite a
Richardson, TX 75080-5705
Phone
(972) 231-3122
Fax
(972) 231-2021
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Dr. Trang Thu Nguyen, DPMNPI 1437222858
Title
Dr.
Phone
(972) 231-3122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 1688 TX Primary

Addresses

Primary practice location

100 S Cottonwood Dr
Suite a
Richardson, TX 75080-5705

Mailing address

100 S Cottonwood Dr
Suite a
Richardson, TX 75080-5705
Phone (972) 231-3122

Other identifiers 2

IdentifierTypeStateIssuer
173733001MedicaidTX
0054QWOtherTXBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041210000655 TX Part B Supplier - Clinic/Group Practice 5395702377 Receives reassigned benefits from 1 practitioner
Practice locations: Richardson, TX

National Provider Directory

National Provider Directory

Locations

1144 N Plano Rd
Ste 230
Richardson, TX 75081
Phone (972) 231-3122

100 S Cottonwood Dr
#A
Richardson, TX 75080
Phone (972) 231-3122

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1063694909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S COTTONWOOD DR",
            "address_2": "SUITE A",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805705",
            "telephone_number": "972-231-3122",
            "fax_number": "972-231-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S COTTONWOOD DR",
            "address_2": "SUITE A",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805705",
            "telephone_number": "972-231-3122",
            "fax_number": "972-231-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANG THU NGUYEN, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TRANG",
        "authorized_official_middle_name": "THU",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "972-231-3122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173733001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0054QW",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.