Individual provider Active NPI

Helen Hoa Nguyen, DMD

  • Dentist
  • Duluth, GA
National Provider Identifier
1104497130
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN122628 Issued in GA
Practice address
4955 Racquet CT
Duluth, GA 30096-6149
Phone
(404) 731-8712
NPI assigned
Jul 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN122628 GA Primary

Addresses

Primary practice location

4955 Racquet CT
Duluth, GA 30096-6149

Mailing address

4868 Glenwhite Dr
Duluth, GA 30096-6082
Phone (404) 731-8712

Other practice location 1

3301 College Ave
Davie, FL 33314-7721
Phone (404) 731-8712

Other practice location 2

4868 Glenwhite Dr
Duluth, GA 30096-6082
Phone (404) 731-8712

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN122628GAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1104497130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4868 GLENWHITE DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966082",
            "telephone_number": "404-731-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 RACQUET CT",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966149",
            "telephone_number": "404-731-8712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 College Ave",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333147721",
            "country_code": "US",
            "telephone_number": "404-731-8712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4868 Glenwhite Dr",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300966082",
            "country_code": "US",
            "telephone_number": "404-731-8712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HELEN",
        "middle_name": "HOA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN122628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.