Active NPI
Alexis Nguyen, DDS
- Dentist
- Thornton, CO
National Provider Identifier
1154998052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 204763
- Practice address
- 2800 E 136TH Ave
Thornton, CO 80241-3417 - Phone
- (720) 872-2892
- NPI assigned
- Jun 9, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 204763 | CO | Primary |
Addresses
Primary practice location
2800 E 136TH Ave
Thornton, CO 80241-3417
Mailing address
2800 E 136TH Ave
Thornton, CO 80241-3417
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 |
|---|---|---|---|
| 204763 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650931200000",
"number": "1154998052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 E 136TH AVE",
"city": "THORNTON",
"state": "CO",
"postal_code": "802413417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 E 136TH AVE",
"city": "THORNTON",
"state": "CO",
"postal_code": "802413417",
"telephone_number": "720-872-2892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "ALEXIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-09",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "204763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.