Active NPI
Dao-Nguyen DMD PA
- General Practice Dentistry
- Davenport, FL
National Provider Identifier
1114798246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DAO-NGUYEN DMD PA
- Practice address
- 39863 Highway 27
Davenport, FL 33837-7802 - Phone
- (863) 216-3369
- Fax
- (863) 216-3368
- NPI assigned
- Jan 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anna Dao, DMD
- Title
- Provider
- Phone
- (863) 216-3369
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
39863 Highway 27
Davenport, FL 33837-7802
Mailing address
39863 Highway 27
Davenport, FL 33837-7802
Phone (863) 216-3369
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043986359 | Medicaid | FL | |
| 1134744477 | Medicaid | MO |
Other names 1
- Zenith Dental
National Provider Directory
National Provider DirectoryLocations
39863 Highway 27
Davenport, FL 33837
Phone (863) 216-3369
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Davenport, FL
- NPI 1043986359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709251200000",
"number": "1114798246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39863 HIGHWAY 27",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338377802",
"telephone_number": "863-216-3369",
"fax_number": "863-216-3368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39863 HIGHWAY 27",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338377802",
"telephone_number": "863-216-3369",
"fax_number": "863-216-3368"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAO-NGUYEN DMD PA",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-09",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A",
"authorized_official_last_name": "DAO",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "863-216-3369",
"authorized_official_credential": "DMD"
},
"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": "1043986359",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134744477",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Zenith Dental",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Zenith Dental",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.