Individual provider Active NPI

David Toan Nguyen, DDS

  • General Practice Dentistry
  • Wheaton, IL
National Provider Identifier
1083888762
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019024228 Issued in IL
Practice address
620 W Roosevelt Rd Ste A1
Wheaton, IL 60187-2305
Phone
(630) 462-9047
Fax
(630) 868-8458
NPI assigned
Apr 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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 019024228 IL Primary

Addresses

Primary practice location

620 W Roosevelt Rd Ste A1
Wheaton, IL 60187-2305

Mailing address

620 W Roosevelt Rd Ste A1
Wheaton, IL 60187-2305
Phone (630) 462-9047

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
019024228ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David T. Nguyen DDS,PC General Practice CurrentSince Aug 28, 2022 Accepting new patients

Locations

620 W Roosevelt Rd
Ste A1
Wheaton, IL 60187
Phone (630) 462-9047

100 W Roosevelt Rd
Ste 105
Wheaton, IL 60187

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, 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": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1083888762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W ROOSEVELT RD STE A1",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872305",
            "telephone_number": "630-462-9047",
            "fax_number": "630-868-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W ROOSEVELT RD STE A1",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872305",
            "telephone_number": "630-462-9047",
            "fax_number": "630-868-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DAVID",
        "middle_name": "TOAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.