Minh Tram Nguyen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DE61074502 Issued in WA

Practice address

405 Cooper Point Rd NW # 103
Olympia, WA 98502-4437

Phone

(360) 866-4480

NPI assigned

Jul 20, 2020

Last updated

Jul 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1144838863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SANDALWOOD DR SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985022681",
            "telephone_number": "253-235-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 COOPER POINT RD NW # 103",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024437",
            "telephone_number": "360-866-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MINH",
        "middle_name": "TRAM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61074502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Olympia",
            "affiliation": "N",
            "endpointDescription": "UNKNOWN",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "405 Cooper Point Rd NW # 103",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985024437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chanh Tam Nguyen
• Diep Thi Nguyen, PHARM D
• Duy Quoc Nguyen, PHARMD
• Elizabeth Nguyen, PHARMD
• Madeline Tuong- VI Nguyen
• Monglien T Nguyen, D.D.S.
• Nhu-Hoang Nguyen, DDS
• Phuoc Dang Nguyen, DO
• Phuong Duong Thoai Nguyen, D.O.
• Phuong Thi an Nguyen, PHARMD

• Dentist in Olympia, WA
• Providers in Olympia, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.