Individual provider Active NPI

Michael Huu Nguyen, DDS

  • Dentist
  • Omaha, NE
National Provider Identifier
1336021559
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8187 Issued in NE
Practice address
11110 Fort St Ste 106
Omaha, NE 68164-2183
Phone
(402) 492-8300
NPI assigned
Jul 21, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8187 NE Primary

Addresses

Primary practice location

11110 Fort St Ste 106
Omaha, NE 68164-2183

Mailing address

11110 Fort St Ste 106
Omaha, NE 68164-2183
Phone (402) 492-8300

Other practice location 1

12150 S 216th Plz
Gretna, NE 68028-5023
Phone (402) 332-2748

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
019.036273ILMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1336021559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 FORT ST STE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681642183",
            "telephone_number": "402-492-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 FORT ST STE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681642183",
            "telephone_number": "402-492-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12150 S 216th Plz",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "NE",
            "postal_code": "680285023",
            "country_code": "US",
            "telephone_number": "402-332-2748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MICHAEL",
        "middle_name": "HUU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-21",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "8187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.