Thomas Nguyen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37240 Issued in TX

Practice address

15004 Avery Ranch Blvd BLDG a
Austin, TX 78717-4600

Phone

(512) 246-7645

NPI assigned

Apr 27, 2020

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

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.

• Avery Ranch Dental, PLLC

  • General Practice Dentistry
  • Austin, TX
  • NPI 1417675372
  NPD (past)

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1255952644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15004 AVERY RANCH BLVD BLDG SUITE100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174600",
            "telephone_number": "512-246-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15004 AVERY RANCH BLVD BLDG A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174600",
            "telephone_number": "512-246-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-27",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Phuong Nguyen, OD
• Teresa Nguyen
• Theresa Q Nguyen, O.D.
• Thi Khoa Nguyen, OD
• Thien Quang Nguyen, PA-C
• Thomas Nguyen
• Thuyan Minh Nguyen, CRNA
• Tina Nguyen
• Toan M Nguyen, DDS
• Tracy Nguyen

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.