Active NPI
Cung Luong Nguyen, D.D.S.
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1316120926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23595
- Practice address
- 2011 N Henderson Ave
Dallas, TX 75206-7321 - Phone
- (148) 232-2182
- NPI assigned
- Dec 6, 2007
- Last updated
- Oct 1, 2019
- 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 | 23595 | TX | Primary |
Addresses
Primary practice location
2011 N Henderson Ave
Dallas, TX 75206-7321
Mailing address
2011 N Henderson Ave
Dallas, TX 75206-7321
Phone (214) 823-2182
Other names 1
- Dr. Jeff Luong Nguyen
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 |
|---|---|---|---|
| 23595 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper Family Dental PLLC | General Practice | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cooper Family Dental
- General Practice Dentistry
- Arlington, TX
- NPI 1427740463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1316120926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 N HENDERSON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752067321",
"telephone_number": "214-823-2182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 N HENDERSON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752067321",
"telephone_number": "148-232-2182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "CUNG",
"middle_name": "LUONG",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-06",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "23595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEFF",
"last_name": "NGUYEN",
"middle_name": "LUONG",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.