Active NPI
Huy Cao Nguyen, DDS
- General Practice Dentistry
- N Las Vegas, NV
National Provider Identifier
1275605149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4823
- Practice address
- 78 Broken Putter Way
N Las Vegas, NV 89148 - Phone
- (702) 371-8567
- Fax
- (702) 685-8867
- NPI assigned
- Nov 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4823 | NV | Primary |
Addresses
Primary practice location
78 Broken Putter Way
N Las Vegas, NV 89148
Mailing address
78 Broken Putter Way
Las Vegas, NV 89148
Phone (702) 371-8567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100509682 | Medicaid | NV |
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 |
|---|---|---|---|
| 4823 | NV | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1275605149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 BROKEN PUTTER WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89148",
"telephone_number": "702-371-8567",
"fax_number": "702-685-8867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 BROKEN PUTTER WAY",
"city": "N LAS VEGAS",
"state": "NV",
"postal_code": "89148",
"telephone_number": "702-371-8567",
"fax_number": "702-685-8867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "HUY",
"middle_name": "CAO",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "4823",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100509682",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in N Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.