Active NPI
Cecile Nguyen, DDS
- Dentist
- Grand Prairie, TX
National Provider Identifier
1164645446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22329
- Practice address
- 817 W Pioneer Pkwy
Suite 150
Grand Prairie, TX 75051-4710 - Phone
- (972) 602-2000
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 22329 | TX | Primary |
Addresses
Primary practice location
817 W Pioneer Pkwy
Suite 150
Grand Prairie, TX 75051-4710
Mailing address
2700 W University Dr
Ste 1060
Denton, TX 76201-1607
Phone (940) 382-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179602101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20160321001908 | TX | Order and Referring Only - Other (Physician) | 6305143249 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22329 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1164645446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 W UNIVERSITY DR",
"address_2": "STE 1060",
"city": "DENTON",
"state": "TX",
"postal_code": "762011607",
"telephone_number": "940-382-5900",
"fax_number": "940-382-5995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 W PIONEER PKWY",
"address_2": "SUITE 150",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750514710",
"telephone_number": "972-602-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "CECILE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "22329",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179602101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.