Alan Si Thong Nguyen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS108317 Issued in CA

Practice address

8085 W Bell Rd Ste 103
Peoria, AZ 85382-3825

Phone

(623) 878-5400

NPI assigned

Jul 25, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Arrowhead Dental Group and Orthodontics, LLP

  • General Practice Dentistry
  • Peoria, AZ
  • NPI 1598907826
  NPD (past)

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1194451963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9898 RARITAN AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081047",
            "telephone_number": "714-548-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8085 W BELL RD STE 103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823825",
            "telephone_number": "623-878-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ALAN",
        "middle_name": "SI THONG",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011531",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS108317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newlife Counseling Services, LLC
• James John Newman, AGACNP-BC
• Russ L. Newman, PHARM.D.
• Nextcare Arizona LLC
• Teresa Nguyen-Vu, O.D.
• Allan Trung Tran Nguyen, DDS
• Cang Nguyen, PHARM.D.
• Dan Nguyen, D.O
• Jenny P Nguyen
• Kelly Nguyen

• General Practice Dentistry in Peoria, AZ
• Providers in Peoria, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.