Individual provider Active NPI

Tuan A Nguyen, DDS

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1215912183
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21736 Issued in TX
Practice address
5934 W Parker Rd Ste B
Plano, TX 75093-6409
Phone
(972) 781-1617
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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 21736 TX Primary

Addresses

Primary practice location

5934 W Parker Rd Ste B
Plano, TX 75093-6409

Mailing address

5934 W Parker Rd Ste B
Plano, TX 75093-6409
Phone (972) 781-1617

Other practice location 1

3330 Douglas Ave
Dallas, TX 75219-2717
Phone (214) 780-0600

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160105001588 TX Order and Referring Only - DentistPractitioner - Dentist 5193027381

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21736TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sparkle Dental Center Current Accepting new patients
Parkwood Dental Associates P.a. General Practice Current Accepting new patients

Locations

3330 Douglas Ave
Dallas, TX 75219
Phone (214) 522-3930

2505 Wycliff Ave
Ste B
Dallas, TX 75219
Phone (214) 780-0600

Organizations & group practices 2

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1215912183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5934 W PARKER RD STE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936409",
            "telephone_number": "972-781-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5934 W PARKER RD STE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936409",
            "telephone_number": "972-781-1617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 Douglas Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752192717",
            "country_code": "US",
            "telephone_number": "214-780-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TUAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.