Active NPI
Christopher T Nguyen, DMD
- Dentist
- Chicago, IL
National Provider Identifier
1114410677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.031611
- Practice address
- 1858 W 35TH St
Chicago, IL 60609-1201 - Phone
- (773) 247-5554
- NPI assigned
- Jun 10, 2018
- Last updated
- Apr 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.031611 | IL | Primary |
Addresses
Primary practice location
1858 W 35TH St
Chicago, IL 60609-1201
Mailing address
964 Elderberry Cir Unit 104
Naperville, IL 60563-9754
Phone (703) 599-0878
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019.031611 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivanhoe Dental Group, LTD. | Single Specialty | Past | Accepting new patients |
| Salem & Shah Dental Group, PLLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Riverdale, IL
- NPI 1336611441
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743897600000",
"number": "1114410677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "964 ELDERBERRY CIR UNIT 104",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605639754",
"telephone_number": "703-599-0878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1858 W 35TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606091201",
"telephone_number": "773-247-5554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "CHRISTOPHER",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-10",
"last_updated": "2025-04-06",
"certification_date": "2025-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "IL",
"license": "019.031611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.