Individual provider Active NPI

Rosy Hong Nhung Nguyen

  • General Practice Dentistry
  • Suwanee, GA
National Provider Identifier
1356959522
Registry record updated Oct 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN122830 Issued in GA
Practice address
3429 Lawrenceville Suwanee Rd Ste E-F
Suwanee, GA 30024-2433
Phone
(678) 400-2710
NPI assigned
Jul 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN122830 GA Primary
Dentist 122300000X D-0006788-C1 AL

Addresses

Primary practice location

3429 Lawrenceville Suwanee Rd Ste E-F
Suwanee, GA 30024-2433

Mailing address

3429 Lawrenceville Suwanee Rd Ste E-F
Suwanee, GA 30024-2433
Phone (678) 400-2710

Other practice location 1

2560 Bell Rd
Montgomery, AL 36117-4370
Phone (334) 271-0040

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
D-0006788-C1ALMDDentist
DN122830GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Dental Professionals, PC General Practice PastSince Jul 1, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665187200000",
    "number": "1356959522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 LAWRENCEVILLE SUWANEE RD STE E-F",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242433",
            "telephone_number": "678-400-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 LAWRENCEVILLE SUWANEE RD STE E-F",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242433",
            "telephone_number": "678-400-2710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2560 Bell Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361174370",
            "country_code": "US",
            "telephone_number": "334-271-0040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ROSY HONG NHUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2022-10-08",
        "certification_date": "2022-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122830",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D-0006788-C1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.