Organization Active NPI

Nguyen DDS PS

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1346360567
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00007675 Issued in WA
Legal business name
NGUYEN DDS PS
Practice address
1421 NW 85TH St
Seattle, WA 98117-4298
Phone
(206) 789-0111
Fax
(206) 789-8961
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dzon Manh Nguyen, D.D.S.NPI 1851430136
Title
Dentist
Phone
(206) 789-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00007675 WA Primary

Addresses

Primary practice location

1421 NW 85TH St
Seattle, WA 98117-4298

Mailing address

1421 NW 85TH St
Seattle, WA 98117-4298
Phone (206) 789-0111

Other names 1

  • Pacific Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

1421 NW 85th St
Seattle, WA 98117
Phone (206) 789-0111

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346360567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 NW 85TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981174298",
            "telephone_number": "206-789-0111",
            "fax_number": "206-789-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 NW 85TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981174298",
            "telephone_number": "206-789-0111",
            "fax_number": "206-789-8961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DZON",
        "authorized_official_middle_name": "MANH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "206-789-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00007675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.