Individual provider Active NPI

Rachel Nguyen, DMD

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1063796845
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27335 Issued in TX
Practice address
510 Paschal St
San Antonio, TX 78212-4057
Phone
(863) 513-0752
Fax
(210) 494-7658
NPI assigned
Sep 28, 2011
Last updated
May 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 27335 TX Primary

Addresses

Primary practice location

510 Paschal St
San Antonio, TX 78212-4057

Mailing address

510 Paschal St
San Antonio, TX 78212-4057
Phone (863) 513-0752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160324000661 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8224335963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rosewood Dental Oral and Maxillofacial Surgery Current Accepting new patients
Franklin Jerry Meeks DDS Inc Dentist Past Accepting new patients

Locations

14615 San Pedro Ave
Ste 215
San Antonio, TX 78232
Phone (210) 494-7658

7300 Blanco Rd
Ste 503
San Antonio, TX 78216
Phone (210) 570-6041

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1063796845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 PASCHAL ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124057",
            "telephone_number": "863-513-0752",
            "fax_number": "210-494-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 PASCHAL ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124057",
            "telephone_number": "863-513-0752",
            "fax_number": "210-494-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "RACHEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2024-05-08",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.