DRS. Audrey T & Thai V. Nguyen, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DRS. AUDREY T & THAI V. NGUYEN, PLLC

Doing business as

EDC

Practice address

3415 Auburn Way S
Ste #1
Auburn, WA 98002

Phone

(253) 272-6242

Fax

(253) 272-6242

NPI assigned

Jun 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Audrey T Nguyen, DDS

Title

VP

Phone

(253) 272-6242

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EDC Doing business as

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1114238524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 PINNACLE CT NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98422",
            "telephone_number": "253-272-6242",
            "fax_number": "253-272-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 AUBURN WAY S",
            "address_2": "STE #1",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "98002",
            "telephone_number": "253-272-6242",
            "fax_number": "253-272-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. AUDREY T & THAI V. NGUYEN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "253-272-6242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TBA",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr. Robert M Pavalunas D.D.S. P.S.
• Dr. William G. Dedge, DC, Inc., PS
• Jennifer Christine Drake, ARNP
• Kaylee Drewry
• Brittany Driftmier, M.A
• Laura Catherine Ducolon, BA, RC
• Elliott O Duea
• Katie Duff
• Heather Duke, BSN, RN
• Kristine Dukes

• General Practice Dentistry in Auburn, WA
• Providers in Auburn, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.