Individual provider Active NPI

Lauren T Nguyen, D.D.S, P.A.

  • Dentist
  • Houston, TX
National Provider Identifier
1255720082
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
TX19446 Issued in TX
Practice address
5605 Winsome LN
Houston, TX 77057-5729
Phone
(713) 484-8484
Fax
(713) 484-7137
NPI assigned
Jan 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X TX19446 TX Primary

Addresses

Primary practice location

5605 Winsome LN
Houston, TX 77057-5729

Mailing address

5605 Winsome LN
Houston, TX 77057-5729
Phone (713) 484-8484

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
I20160425001559 TX Order and Referring Only - DentistPractitioner - Dentist 5991004046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
TX19446TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1255720082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 WINSOME LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575729",
            "telephone_number": "713-484-8484",
            "fax_number": "713-484-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 WINSOME LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575729",
            "telephone_number": "713-484-8484",
            "fax_number": "713-484-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LAUREN",
        "middle_name": "T",
        "credential": "D.D.S, P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "TX19446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.