Nguyen Minh Tau, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1855101 Issued in MA

Practice address

17 Young St
Worcester, MA 01603-1420

Phone

(508) 753-6777

NPI assigned

Jun 3, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

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.

• Webster Square Dental

  • General Practice Dentistry
  • Worcester, MA
  • NPI 1629116355
  NPD (past)

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1083840284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 COLONIAL DR",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015451570",
            "telephone_number": "617-223-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 YOUNG ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031420",
            "telephone_number": "508-753-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAU",
        "first_name": "NGUYEN",
        "middle_name": "MINH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatnuck Family Dental Care PLLC
• Maria Nancy Tatro, MSW
• Ixchel Tattersall-Malaver
• Isaiah Tatum
• Rashedah Tatum, LCSW, MSW, SAC
• Jessica Annmarie Tauriainen
• Gina Tavano
• Jaeda Tavares-Reid
• Andrea Tavares, OTR/L
• Emilicia Tavares

• Dentist in Worcester, MA
• Providers in Worcester, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.