Active NPI
Cuong Gia Nguyen, D.D.S.
- General Practice Dentistry
- Kittery, ME
National Provider Identifier
1306804174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 04036
- Practice address
- 1 Ayres Circle, BLDG H-1
Kittery, ME 03904 - Phone
- (207) 438-1714
- NPI assigned
- May 2, 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 | 04036 | NH | Primary |
Addresses
Primary practice location
1 Ayres Circle, BLDG H-1
Kittery, ME 03904
Mailing address
9 Coates LN
Haverhill, MA 01835-7002
Phone (603) 402-8239
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 |
|---|---|---|---|
| 04036 | NH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1306804174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 COATES LN",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018357002",
"telephone_number": "603-402-8239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 AYRES CIRCLE, BLDG H-1",
"city": "KITTERY",
"state": "ME",
"postal_code": "03904",
"telephone_number": "207-438-1714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "CUONG",
"middle_name": "GIA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2021-04-01",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NH",
"license": "04036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kittery, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.