Individual provider Active NPI

Thuy Nguyen

  • General Practice Dentistry
  • Marrero, LA
National Provider Identifier
1144509175
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6764 Issued in LA
Practice address
5421 Lapalco Blvd
Marrero, LA 70072-4152
Phone
(504) 348-0080
NPI assigned
Aug 8, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6764 LA Primary
Pharmacist 183500000X P110906 MS

Addresses

Primary practice location

5421 Lapalco Blvd
Marrero, LA 70072-4152

Mailing address

436 Gardere Ave
Harvey, LA 70058-4434
Phone (504) 605-5850

Other practice location 1

12007 Lamey Bridge Rd
Diberville, MS 39540-8907
Phone (228) 392-2388

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

LicenseStateTypeSpecialty
6764LAMDGeneral Practice Dentistry
P110906MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co PastSince Mar 20, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144509175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 GARDERE AVE",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700584434",
            "telephone_number": "504-605-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 LAPALCO BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700724152",
            "telephone_number": "504-348-0080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12007 Lamey Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Diberville",
            "state": "MS",
            "postal_code": "395408907",
            "country_code": "US",
            "telephone_number": "228-392-2388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THUY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6764",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "P110906",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.