Phat Huu Nguyen, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DEN.00205528 Issued in CO

Practice address

3701 S Clarkson St Ste 300
Englewood, CO 80113-3960

Phone

(303) 806-8600

NPI assigned

Jul 6, 2017

Last updated

Jul 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 3, 2024 through Jun 3, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Colorado Surgical Arts

  dba Precision Oral Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Englewood, CO
  • NPI 1952677973

  Single Specialty

  NPD
• Kimberly C Stone MD PC

  • Dermatology Physician
  • Englewood, CO
  • NPI 1053597849

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1104347525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 S CLARKSON ST STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133960",
            "telephone_number": "303-806-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 S CLARKSON ST STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133960",
            "telephone_number": "303-806-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13402 W Coal Mine Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801275408",
            "country_code": "US",
            "telephone_number": "303-806-8600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9932 Twenty Mile Rd # 80134",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801344938",
            "country_code": "US",
            "telephone_number": "303-806-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHAT HUU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-06",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "DEN.00205528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy K Nguyen, PA-C
• Derrick Nguyen
• Hieu Nguyen, PHARMD
• Jennifer Nguyen
• Mike Nguyen
• Quoc Thanh Nguyen, D.O.
• Thanh Nguyen
• Vincent Duc Nguyen
• Yune Ngoc Nguyen
• Nicholas G. Nonas MD

• Oral and Maxillofacial Surgery (Dentist) in Englewood, CO
• Providers in Englewood, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.