Qui Q Nguyen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20379 Issued in MA

Practice address

12 Colleen Dr
Lakeville, MA 02347-1663

Phone

(508) 947-0111

Fax

(508) 947-9815

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

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

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.

• Commonwealth Mobile Oral Health Services, LLC

  • General Practice Dentistry
  • Lakeville, MA
  • NPI 1215081625
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1366512600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 COLLEEN DR",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471663",
            "telephone_number": "508-947-0111",
            "fax_number": "508-947-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 COLLEEN DR",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471663",
            "telephone_number": "508-947-0111",
            "fax_number": "508-947-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "QUI",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0201847",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02329582",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30302082",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynne Moody, RDH
• Maria Jose Morales
• Jose A. Morell, M.ED.,CAGS,LMHC,LADC
• Abigail Murdoch, APRN
• Elizabeth Durkee Neil, MAOM
• Joann M Niles, R.N.
• Northland Hearing Centers, Inc.
• Nutrition for Life, Inc.
• Jolene O'Brien, MS RD LDN
• Kristi Michelle O'Brien

• General Practice Dentistry in Lakeville, MA
• Providers in Lakeville, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.