Active NPI
Samantha Nguyen, DDS
- Dentist
- Brighton, CO
National Provider Identifier
1134960362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00205993
- Practice address
- 3494 Eagle Blvd
Brighton, CO 80601-7403 - Phone
- (303) 659-3003
- NPI assigned
- Jun 3, 2024
- Sex
- Female
- 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 | 00205993 | CO | Primary |
Addresses
Primary practice location
3494 Eagle Blvd
Brighton, CO 80601-7403
Mailing address
3494 Eagle Blvd
Brighton, CO 80601-7403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241003003252 | TX | Order and Referring Only - Dentist | 5597296384 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00205993 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighton Modern Dentistry and Orthodontics, LLP | Past | Accepting new patients |
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.
-
dba Brighton Modern Dentistry and Orthodontics
- General Practice Dentistry
- Brighton, CO
- NPI 1316223662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1134960362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3494 EAGLE BLVD",
"city": "BRIGHTON",
"state": "CO",
"postal_code": "806017403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3494 EAGLE BLVD",
"city": "BRIGHTON",
"state": "CO",
"postal_code": "806017403",
"telephone_number": "303-659-3003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "SAMANTHA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-03",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "00205993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, CO
- Geoffrey Alan Nelson
- Nestman and Eng Orthodontics, LLC (Brighton Orthodontics)
- Bao-CHI Clara Tran Nghiem, DDS
- Brandon Nguyen, DDS
- Jacqueline Nguyen, PHARMD
- Rebecca Elyse Niemeyer, PA-C
- Nickole Nieto, COT
- Sonya J Norman, M.D.
- North Metro Community Services, Inc
- O and a Dental and Braces at Brighton PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.