Active NPI
Van Nguyen, D.D.S.
- General Practice Dentistry
- Plano, TX
National Provider Identifier
1174648752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 21273
- Practice address
- 4004 W Park Blvd
Plano, TX 75093-3839 - Phone
- (972) 964-6555
- Fax
- (972) 964-6550
- NPI assigned
- Mar 20, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21273 | TX | Primary |
Addresses
Primary practice location
4004 W Park Blvd
Plano, TX 75093-3839
Mailing address
4004 W Park Blvd
Plano, TX 75093-3839
Phone (972) 964-6555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1585960 | Medicaid | TX |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Plano Dental, P.a. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Plano, TX
- NPI 1396860219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174648752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4004 W PARK BLVD",
"city": "PLANO",
"state": "TX",
"postal_code": "750933839",
"telephone_number": "972-964-6555",
"fax_number": "972-964-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4004 W PARK BLVD",
"city": "PLANO",
"state": "TX",
"postal_code": "750933839",
"telephone_number": "972-964-6555",
"fax_number": "972-964-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "VAN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "21273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1585960",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.