NPIMap

Organization Active NPI

DRS. Thai and Audrey Nguyens, PLLC

  • General Practice Dentistry
  • Tacoma, WA
National Provider Identifier
1235279357
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE8569 Issued in WA
Legal business name
DRS. THAI AND AUDREY NGUYENS, PLLC
Practice address
1212 S 11TH St
Ste #20
Tacoma, WA 98405-4021
Phone
(253) 272-6242
Fax
(253) 272-6243
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Audrey Trang Nguyen, DDSNPI 1316090947
Title
VP
Phone
(253) 272-6242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DE8879 WA
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DE8569 WA Primary

Addresses

Primary practice location

1212 S 11TH St
Ste #20
Tacoma, WA 98405-4021

Mailing address

1212 S 11TH St
Ste #20
Tacoma, WA 98405-4021
Phone (253) 272-6242

Other identifiers 1

IdentifierTypeStateIssuer
5035837MedicaidWA

Other names 1

  • Excellent Dental Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

1212 S 11th St
Ste 20
Tacoma, WA 98405
Phone (253) 272-6242

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235279357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S 11TH ST",
            "address_2": "STE #20",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054021",
            "telephone_number": "253-272-6242",
            "fax_number": "253-272-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S 11TH ST",
            "address_2": "STE #20",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054021",
            "telephone_number": "253-272-6242",
            "fax_number": "253-272-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. THAI AND AUDREY NGUYENS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "TRANG",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "253-272-6242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE8879",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE8569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5035837",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excellent Dental Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.