Individual provider Active NPI

Tony Vo Nguyen, DDS

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1184277329
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD5173 Issued in NM
Practice address
6111 Taylor Ranch Rd NW
Albuquerque, NM 87120-2640
Phone
(505) 898-2000
Fax
(505) 898-0888
NPI assigned
Jul 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DD5173 NM Primary

Addresses

Primary practice location

6111 Taylor Ranch Rd NW
Albuquerque, NM 87120-2640

Mailing address

6111 Taylor Ranch Rd NW
Albuquerque, NM 87120-2640
Phone (505) 898-2000

Other practice location 1

4730 Beckner Rd
Santa Fe, NM 87507-3691
Phone (505) 989-4500

Other practice location 2

2401 Cabezon Blvd SE
Ste 101A
Rio Rancho, NM 87124-1513
Phone (505) 896-8862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20191231000912 NM Practitioner - Dentist 7911237813 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DD5173NMMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services Current Accepting new patients
Presbyterian Medical Services CurrentSince Nov 5, 2019 Accepting new patients
Taylor Ranch Dental LLC General Practice CurrentSince Oct 15, 2023 Accepting new patients
Presbyterian Medical Services General Practice CurrentSince Nov 5, 2019 Accepting new patients

Locations

6111 Taylor Ranch Rd NW
Albuquerque, NM 87120
Phone (505) 898-2000

1105 Memorial Dr
Artesia, NM 88210
Phone (505) 746-9848

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

4730 Beckner Rd
Santa Fe, NM 87507
Phone (505) 989-4500

Interoperability endpoints

  • Direct secure messaging: tony.nguyen.p1@direct.pmsnm.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1184277329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 TAYLOR RANCH RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202640",
            "telephone_number": "505-898-2000",
            "fax_number": "505-898-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 TAYLOR RANCH RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202640",
            "telephone_number": "505-898-2000",
            "fax_number": "505-898-0888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4730 Beckner Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875073691",
            "country_code": "US",
            "telephone_number": "505-989-4500",
            "fax_number": "505-443-8313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 Cabezon Blvd SE",
            "address_2": "Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871241513",
            "country_code": "US",
            "telephone_number": "505-896-8862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TONY",
        "middle_name": "VO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-17",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD5173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.