Minh Nhat Nguyen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12364390-9921 Issued in UT

Practice address

2954 Carrington Rd
Fort Bliss, TX 79916

Phone

(915) 742-3303

NPI assigned

Aug 17, 2021

Last updated

Aug 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1255007563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9514 ASHDOWN FOREST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793650",
            "telephone_number": "832-584-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2954 CARRINGTON RD",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "79916",
            "telephone_number": "915-742-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MINH",
        "middle_name": "NHAT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "12364390-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Yvonne Negrete, PA-C
• Amanda Beth Nelson
• Micah S Ngatuvai
• Brian Khoi Ngo, DO
• Oliver Ngumbi
• Phong Thanh Nguyen, MD
• Marc Nicholes, DO
• Nathan Scott Nielsen, DO
• Andrea Nixon, PA-C
• Danny J Nolasco, RDN, LD

• Dentist in Fort Bliss, TX
• Providers in Fort Bliss, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.