Thu Minh Nguyen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

12014099A Issued in IN

Practice address

2086 Old Highway 135 NW Ste 2
Corydon, IN 47112-4015

Phone

(812) 734-1300

NPI assigned

May 9, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1336839794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2086 OLD HIGHWAY 135 NW STE 2",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471124015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2086 OLD HIGHWAY 135 NW STE 2",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471124015",
            "telephone_number": "812-734-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THU",
        "middle_name": "MINH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12014099A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Murphy, N.P.
• John Brent Murphy, M.D.
• Sierra Nash
• Joe Nelson, LCSW
• New Bay Dialysis LLC (Corydon Dialysis Center)
• John F. Norton, MD
• Stephanie R Ollis, APRN
• Oral Surgery Group - Corydon LLC
• Melisa Overstreet
• Chandler H Park, M.D., MSC

• Dentist in Corydon, IN
• Providers in Corydon, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.