Individual provider Active NPI

Christine Bich-Van Hoang Nguyen, D.D.S.

  • General Practice Dentistry
  • Winter Park, FL
National Provider Identifier
1306988050
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15461 Issued in FL
Practice address
1330 S Orlando Ave
Winter Park, FL 32789-5560
Phone
(407) 629-4077
Fax
(407) 629-4431
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN15461 FL Primary

Addresses

Primary practice location

1330 S Orlando Ave
Winter Park, FL 32789-5560

Mailing address

1330 S Orlando Ave
Winter Park, FL 32789-5560
Phone (407) 629-4077

Other identifiers 1

IdentifierTypeStateIssuer
DN15461OtherFLFLORIDA DENTAL LICENSE

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

LicenseStateTypeSpecialty
DN15461FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1306988050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 S ORLANDO AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895560",
            "telephone_number": "407-629-4077",
            "fax_number": "407-629-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 S ORLANDO AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895560",
            "telephone_number": "407-629-4077",
            "fax_number": "407-629-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHRISTINE",
        "middle_name": "BICH-VAN HOANG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DENTAL LICENSE",
            "identifier": "DN15461",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.