Organization Active NPI

Reyna Nguyen D.D.S P.L.L.C

  • Oral and Maxillofacial Surgery (Dentist)
  • Port Arthur, TX
National Provider Identifier
1356869218
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
28778 Issued in TX
Legal business name
REYNA NGUYEN D.D.S P.L.L.C
Practice address
2770 Aero Dr
Ste 2
Port Arthur, TX 77604
Phone
(409) 729-0300
Fax
(409) 729-0319
NPI assigned
Aug 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Reyna M Nguyen, DDS
Title
Oral and Maxillofacial Surgeon
Phone
(409) 729-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 28778 TX Primary

Addresses

Primary practice location

2770 Aero Dr
Ste 2
Port Arthur, TX 77604

Mailing address

2770 Aero Dr Ste 2
Port Arthur, TX 77640-1519
Phone (409) 729-0300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356869218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 AERO DR STE 2",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776401519",
            "telephone_number": "409-729-0300",
            "fax_number": "409-729-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 AERO DR",
            "address_2": "STE 2",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "77604",
            "telephone_number": "409-729-0300",
            "fax_number": "409-729-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNA NGUYEN D.D.S P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "REYNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "409-729-0300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "28778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.