Individual provider Active NPI

Victoria Hanh Diem Nguyen, DDS

  • General Practice Dentistry
  • Farmers Branch, TX
National Provider Identifier
1114142155
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19799 Issued in TX
Practice address
13260 Josey LN Ste 101
Farmers Branch, TX 75234-4979
Phone
(945) 209-1848
Fax
(866) 829-7913
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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 19799 TX Primary

Addresses

Primary practice location

13260 Josey LN Ste 101
Farmers Branch, TX 75234-4979

Mailing address

13260 Josey LN Ste 101
Farmers Branch, TX 75234-4979
Phone (945) 209-1848

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
19799TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mesquite Smile Center PLLC General Practice Current Accepting new patients
Gayle Doores DDS PC General Practice Past Accepting new patients
Campbell Dental P.a. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1114142155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13260 JOSEY LN STE 101",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752344979",
            "telephone_number": "945-209-1848",
            "fax_number": "866-829-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13260 JOSEY LN STE 101",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752344979",
            "telephone_number": "945-209-1848",
            "fax_number": "866-829-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VICTORIA",
        "middle_name": "HANH DIEM",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.