Peter Cong Nguyen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30445 Issued in TX

Practice address

6356 S Peek Rd Ste 700
Katy, TX 77450-7192

Phone

(714) 622-9620

Fax

(346) 307-7359

NPI assigned

Aug 8, 2012

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 TX

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

Practice roles

Locations

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.

• South Peek Dental Care PLLC

  • Dental Clinic/Center
  • Katy, TX
  • NPI 1417647405
  NPD Authorized official

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1316294440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6356 S PEEK RD STE 700",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507192",
            "telephone_number": "714-622-9620",
            "fax_number": "346-307-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6356 S PEEK RD STE 700",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507192",
            "telephone_number": "714-622-9620",
            "fax_number": "346-307-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PETER",
        "middle_name": "CONG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-08",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "056044",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minhchau Thoai Nguyen, DDS
• Ngan Nguyen, O.D.
• Ngan Nguyen, MD
• Ngoc-Loan Khoa Nguyen, DPM
• Paula Phuong Nguyen, DC
• Quang Nguyen, DDS
• Quoc Nguyen, O.D.
• Quyen Ngo Nguyen, OPTICIAN
• Quyen Tran Thuc Nguyen, MA, BCBA, LBA
• Quynh Khanh Nguyen, PHARM.D.

• General Practice Dentistry in Katy, TX
• Providers in Katy, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.