Active NPI
Tu Anh Nguyen, DDS
- Dentist
- Portland, OR
National Provider Identifier
1154733020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 64892
- Practice address
- 8931 SE Foster Rd
Portland, OR 97266-4661 - Phone
- (855) 433-6825
- NPI assigned
- May 27, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 64892 | CA | Primary |
| Pediatric Dentistry | 1223P0221X | D11471 | OR |
Addresses
Primary practice location
8931 SE Foster Rd
Portland, OR 97266-4661
Mailing address
6950 NE Campus Way
Hillsboro, OR 97124-5611
Phone (714) 889-0353
Other practice location 1
3750 S River Pkwy Apt 435
Portland, OR 97239-4746
Phone (714) 889-0353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- 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 |
|---|---|---|---|---|
| I20210819003303 | OR | Order and Referring Only - Dentist | 1951706571 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64892 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1154733020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6950 NE CAMPUS WAY",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971245611",
"telephone_number": "714-889-0353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8931 SE FOSTER RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972664661",
"telephone_number": "855-433-6825"
}
],
"practiceLocations": [
{
"address_1": "3750 S River Pkwy Apt 435",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972394746",
"country_code": "US",
"telephone_number": "714-889-0353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "TU",
"middle_name": "ANH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-27",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "64892",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OR",
"license": "D11471",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.