Active NPI
Andy Tuan Nguyen, DMD
- General Practice Dentistry
- Killeen, TX
National Provider Identifier
1376112441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37238
- Practice address
- 421 N 38TH St
Killeen, TX 76543-4153 - Phone
- (254) 634-0234
- NPI assigned
- Jun 22, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 37238 | TX | Primary |
Addresses
Primary practice location
421 N 38TH St
Killeen, TX 76543-4153
Mailing address
813 Bridle Creek Dr
Georgetown, TX 78626-2860
Phone (832) 283-8524
Other practice location 1
920 N Main St
Taylor, TX 76574-3230
Phone (512) 352-5577
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37238 | TX | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Andy Dental PLLC | Current | Accepting new patients | |
| Taylor Dental Associates, Inc | General Practice | Past | Accepting new patients |
| 920 North Main Street Professional, PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Dentist
- Lake Jackson, TX
- NPI 1982561866
-
- General Practice Dentistry
- Taylor, TX
- NPI 1346867926
-
- General Practice Dentistry
- Taylor, TX
- NPI 1598909640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1376112441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 BRIDLE CREEK DR",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786262860",
"telephone_number": "832-283-8524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 N 38TH ST",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765434153",
"telephone_number": "254-634-0234"
}
],
"practiceLocations": [
{
"address_1": "920 N Main St",
"address_purpose": "LOCATION",
"city": "Taylor",
"state": "TX",
"postal_code": "765743230",
"country_code": "US",
"telephone_number": "512-352-5577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "ANDY",
"middle_name": "TUAN",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-22",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "37238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.