Active NPI
Hiep Q. Nguyen
- General Practice Dentistry
- Breaux Bridge, LA
National Provider Identifier
1295884518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5265
- Practice address
- 1329 Grand Point Ave
Breaux Bridge, LA 70517-3921 - Phone
- (337) 332-2412
- Fax
- (337) 332-5159
- NPI assigned
- Jan 9, 2007
- 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 | 5265 | LA | Primary |
Addresses
Primary practice location
1329 Grand Point Ave
Breaux Bridge, LA 70517-3921
Mailing address
1329 Grand Point Ave
Breaux Bridge, LA 70517-3921
Phone (337) 332-2412
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1852651 | Medicaid | LA |
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 |
|---|---|---|---|
| 5265 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breaux Bridge Family Dentisrty | Past | Accepting new patients |
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.
-
- Dentist
- Breaux Bridge, LA
- NPI 1386099281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295884518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 GRAND POINT AVE",
"city": "BREAUX BRIDGE",
"state": "LA",
"postal_code": "705173921",
"telephone_number": "337-332-2412",
"fax_number": "337-332-5159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 GRAND POINT AVE",
"city": "BREAUX BRIDGE",
"state": "LA",
"postal_code": "705173921",
"telephone_number": "337-332-2412",
"fax_number": "337-332-5159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "HIEP",
"middle_name": "Q.",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "5265",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1852651",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Breaux Bridge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.