Active NPI
Minhly Duy Nguyen, D.D.S.
- General Practice Dentistry
- Fresno, TX
National Provider Identifier
1194982991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 21485
- Practice address
- 12125 Highway 6 Ste D
Fresno, TX 77545-8844 - Phone
- (281) 431-8909
- Fax
- (281) 431-8985
- NPI assigned
- May 20, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21485 | TX | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 21485 | TX | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 21485 | TX |
Addresses
Primary practice location
12125 Highway 6 Ste D
Fresno, TX 77545-8844
Mailing address
12125 Highway 6 Ste D
Fresno, TX 77545-8844
Phone (281) 431-8909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161994211 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21485 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minhly Duy Nguyen DDS PA | 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
- Fresno, TX
- NPI 1033237656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1194982991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12125 HIGHWAY 6 STE D",
"city": "FRESNO",
"state": "TX",
"postal_code": "775458844",
"telephone_number": "281-431-8909",
"fax_number": "281-431-8985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12125 HIGHWAY 6 STE D",
"city": "FRESNO",
"state": "TX",
"postal_code": "775458844",
"telephone_number": "281-431-8909",
"fax_number": "281-431-8985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MINHLY",
"middle_name": "DUY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-20",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "21485",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "21485",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "21485",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161994211",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.