Nam-Rene Nguyen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AZ5074 Issued in AZ

Practice address

320 E Western Ave
Avondale, AZ 85323-2348

Phone

(623) 932-3344

Fax

(623) 932-0594

NPI assigned

Dec 17, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Avondale Family Dental Care PC.

  • General Practice Dentistry
  • Avondale, AZ
  • NPI 1548387384

  General Practice

  NPD (past) Authorized official
• Huu Nguyen LLC

  • General Practice Dentistry
  • Avondale, AZ
  • NPI 1043072226

  General Practice

  NPD (past)

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1225191968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E WESTERN AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853232348",
            "telephone_number": "623-932-3344",
            "fax_number": "623-932-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E WESTERN AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853232348",
            "telephone_number": "623-932-3344",
            "fax_number": "623-932-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NAM-RENE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "AZ5074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "480476",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Mambo Ngigi
• Khanh Ngo, OD
• Ethan D Nguyen, NP-C
• Lam Thanh Nguyen
• Lily Nguyen, PHARMD
• Olivia Thuy Nguyen, PA-C
• Son T Nguyen, DDS
• Berinyuy Rita Ngwang
• Hannah Nichols
• Kathleen A Nichols, MD

• General Practice Dentistry in Avondale, AZ
• Providers in Avondale, 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 Jul 9, 2007; 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.