Phong T Nguyen, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

24553 Issued in TX

Practice address

10901 Garland Rd
Dallas, TX 75218-2613

Phone

(504) 458-4494

NPI assigned

Jun 17, 2009

Last updated

Jun 26, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245974400000",
    "number": "1184851123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 N FITZHUGH AVE APT 3344",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043397",
            "telephone_number": "504-458-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 GARLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182613",
            "telephone_number": "504-458-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHONG",
        "middle_name": "T",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Thi Nguyen
• Oanh Kieu Nguyen, M.D.
• Oanh Thi Kim Nguyen, AGACNP-BC
• Pat Thi Nguyen, APRN, DNP-C
• Peter T Nguyen, MD
• Phu DH Nguyen, MD
• Phuc Dinh Nguyen, MD
• Phuong T Nguyen, O.D.
• Phuong Thao Thi Nguyen
• Phuong Thien Nguyen, DDS

• Dentist in Dallas, TX
• Providers in Dallas, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.