Joe A Nguyen, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN1855923 Issued in MA

Practice address

244 Willow St
Yarmouth Port, MA 02675-1757

Phone

(508) 375-9090

NPI assigned

Jan 15, 2010

Last updated

Sep 2, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cape Cod Periodontics PC

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  • NPI 1740682517
  Authorized official Same address or phone
• Dental Implant Specialists of Massachusetts, PC

  • Dentist
  • Yarmouth Port, MA
  • NPI 1972299196
  Authorized official Same address or phone

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1306177399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 WILLOW ST.",
            "city": "YARMOUTHPORT",
            "state": "MA",
            "postal_code": "02675",
            "telephone_number": "508-375-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 WILLOW ST",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026751757",
            "telephone_number": "508-375-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JOE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-15",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855923",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "03937",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Reilly, LMHC LLC
• Susan L Montgomery, LICSW
• Audrey Motta-Wurst, M.S.
• Asahi Irene Nagasaka
• Carlos A Negron
• Leif R. Norenberg, M.D.
• Virginia Claire O'Brien, LICSW
• Lilly Anne Oliveira
• Robert I. Orenstein, D.M.D.
• Emily Vandoren Pardue, RN, MSN, CPNP, PMHNP

• Dentist in Yarmouth Port, MA
• Providers in Yarmouth Port, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.