Lan Thi Ngoc Nguyen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DE60559889 Issued in WA

Practice address

4528 W 26TH Ave Ste 110
Kennewick, WA 99338-1863

Phone

(509) 591-4267

Fax

(509) 628-5204

NPI assigned

Jul 22, 2014

Sex

Female

Sole proprietor

Yes

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.

• Tin Duc Nguyen DMD and Lan Thi Ngoc Nguyen DMD, PLLC

  • General Practice Dentistry
  • Kennewick, WA
  • NPI 1730668310
  NPD

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593216000000",
    "number": "1336556372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 W 26TH AVE STE 110",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993381863",
            "telephone_number": "509-591-4267",
            "fax_number": "509-628-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 W 26TH AVE STE 110",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993381863",
            "telephone_number": "509-591-4267",
            "fax_number": "509-628-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LAN THI",
        "middle_name": "NGOC",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2020-06-27",
        "certification_date": "2020-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30296",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60559889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franklin C Newhouse, MD
• Brandon Michael Newman
• Melody Lynn Newman
• Natalie Maxine Newton
• Peris Ngethe
• Nhan Phuoc Nguyen, PHARMD.
• Thu Ha Nguyen, MD
• Jourdan Clive Nicholls, DPM
• Bonnie Lee Nickerson, LPN
• Nickolas Allen DC

• Dentist in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2020; 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.