Active NPI
Thien Cong Nguyen, DMD
- Dentist
- Tucson, AZ
National Provider Identifier
1124210356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D7354
- Practice address
- 4001 E Broadway Blvd
Tucson, AZ 85711-3454 - Phone
- (520) 323-2600
- Fax
- (520) 323-2800
- NPI assigned
- Aug 12, 2007
- 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 | D7354 | AZ | Primary |
Addresses
Primary practice location
4001 E Broadway Blvd
Tucson, AZ 85711-3454
Mailing address
449 E Elm St
Tucson, AZ 85705-6713
Phone (520) 850-9418
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 |
|---|---|---|---|
| D7354 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canyon Dental Group, PLLC | Dentist | Past | Accepting new patients |
Interoperability endpoints
- tnguyen705479@direct.ochin.org
Organizations & group practices 1
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.
-
- Dentist
- Tucson, AZ
- NPI 1619363694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186876800000",
"number": "1124210356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "449 E ELM ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857056713",
"telephone_number": "520-850-9418",
"fax_number": "520-323-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 E BROADWAY BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857113454",
"telephone_number": "520-323-2600",
"fax_number": "520-323-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THIEN",
"middle_name": "CONG",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-12",
"last_updated": "2007-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D7354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.