Individual provider Active NPI

Andy Tuan Nguyen, DMD

  • General Practice Dentistry
  • Killeen, TX
National Provider Identifier
1376112441
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37238 Issued in TX
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

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
37238TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Jul 5, 2020 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.

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.

Verify at the official NPI Registry.