Individual provider Active NPI

Lem Minh Nguyen, DDS

  • Dentist
  • Seattle, WA
National Provider Identifier
1104209006
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60569487 Issued in WA
Practice address
10254 16TH Ave SW
Seattle, WA 98146-1432
Phone
(206) 862-2573
Fax
(206) 763-0291
NPI assigned
Jul 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE60569487 WA
Dentist 122300000X DE60569487 WA Primary

Addresses

Primary practice location

10254 16TH Ave SW
Seattle, WA 98146-1432

Mailing address

10254 16TH Ave SW
Seattle, WA 98146-1432
Phone (206) 862-2573

Other practice location 1

8915 14th Ave S Fl 2
Seattle, WA 98108-4813
Phone (206) 762-3263

Other practice location 2

2781 S 242nd St
Des Moines, WA 98198-5166
Phone (206) 957-9040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20160108002263 WA Order and Referring Only - DentistPractitioner - Dentist 9739481623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60569487WAMDDentist

Interoperability endpoints

  • Direct secure messaging: lnguyen452816@direct.multicare.org

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1104209006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10254 16TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981461432",
            "telephone_number": "206-862-2573",
            "fax_number": "206-763-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10254 16TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981461432",
            "telephone_number": "206-862-2573",
            "fax_number": "206-763-0291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8915 14th Ave S Fl 2",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981084813",
            "country_code": "US",
            "telephone_number": "206-762-3263",
            "fax_number": "206-763-6574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2781 S 242nd St",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "WA",
            "postal_code": "981985166",
            "country_code": "US",
            "telephone_number": "206-957-9040",
            "fax_number": "206-212-4525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LEM",
        "middle_name": "MINH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60569487",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60569487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.