Active NPI
Phuoc Nguyen, CPO, LPO
- Prosthetist
- Plano, TX
National Provider Identifier
1275048852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 1773
- Practice address
- 1721 W Plano Pkwy Ste 212
Plano, TX 75075 - Phone
- (469) 931-2177
- Fax
- (469) 209-6076
- NPI assigned
- Dec 5, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 1773 | TX | |
| Prosthetist | 224P00000X | 1773 | TX | Primary |
Addresses
Primary practice location
1721 W Plano Pkwy Ste 212
Plano, TX 75075
Mailing address
2250 S Valley Pkwy Apt 3207
Lewisville, TX 75067-2056
Phone (850) 341-1555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1773 | TX | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DFW Orthotics and Prosthetics, LLC | Orthotist | Current | Accepting new patients |
Locations
1721 W Plano Pkwy
Ste 212
Plano, TX 75075
Phone (214) 325-7639
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1275048852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 S VALLEY PKWY APT 3207",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750672056",
"telephone_number": "850-341-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 W PLANO PKWY STE 212",
"city": "PLANO",
"state": "TX",
"postal_code": "75075",
"telephone_number": "469-931-2177",
"fax_number": "469-209-6076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "PHUOC",
"credential": "CPO, LPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-05",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "TX",
"license": "1773",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "TX",
"license": "1773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.