Jennifer Thao Nguyen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

34953 Issued in TX

Practice address

10245 Kempwood Dr Ste C
Houston, TX 77043-1840

Phone

(713) 690-8585

NPI assigned

Apr 2, 2019

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Asian American Health Coalition of the Greater Houston Area

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1699966754

  TX

  Medicare reassignment NPD
• Dream Dental PLLC

  • General Practice Dentistry
  • Richmond, TX
  • NPI 1578154738
  NPD Authorized official
• Asian American Health Coalition of the Greater Houston Area

  • Pharmacy
  • Houston, TX
  • NPI 1174236632
  NPD
• Asian American Health Coalition of the Greater Houston Area

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1972239341
  NPD
• Amigo Dental, DDS, PA

  • General Practice Dentistry
  • Houston, TX
  • NPI 1104030410
  NPD (past)

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1295297828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8919 CYPRESS SHRUB TRL",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072007",
            "telephone_number": "832-373-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10245 KEMPWOOD DR STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770431840",
            "telephone_number": "713-690-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JENNIFER",
        "middle_name": "THAO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanmarc V Nguyen, PHARM.D.
• Jena Nguyen, OD
• Jennifer D Nguyen, PHARMD
• Jennifer Dinh Nguyen, MD
• Jennifer Mai-Khoi Nguyen, AA
• Jennifer Thao Nguyen, PHARMD
• Jennifer Thu Nguyen, OD
• Jennifer Thy Nguyen, D.C.
• Jenny Nguyen
• Jenny Nguyen, OD

• All providers in Houston, TX
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.