Henry Chuong Nguyen, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DN011563 Issued in GA

Practice address

1394 Indian Trail Lilburn Rd
Suite 301
Norcross, GA 30093-2677

Phone

(770) 921-9792

Fax

(770) 921-9009

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1164440780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1394 INDIAN TRAIL LILBURN RD",
            "address_2": "SUITE 301",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932677",
            "telephone_number": "770-921-9792",
            "fax_number": "770-921-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1394 INDIAN TRAIL LILBURN RD",
            "address_2": "SUITE 301",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932677",
            "telephone_number": "770-921-9792",
            "fax_number": "770-921-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HENRY",
        "middle_name": "CHUONG",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011563",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN011563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "39100",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9180327",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00714172A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angel Ngote, RBT
• Bao Tram Thi Nguyen, D.O.
• Dai Minh Le Nguyen, D.M.D.
• Hanh Thi Hong Nguyen, DDS
• Henry Nguyen, DMD
• Minh Chau Nguyen, DNP
• Nhan Truong Nguyen, CRNA
• Paul Huydao Nguyen, M.D.
• Steven Tuan Nguyen, M.D
• Thang Nguyen, D.O.

• Dentist in Norcross, GA
• Providers in Norcross, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.

Verify at the official NPI Registry.