Individual provider Active NPI

Anthony Hieu Nguyen, DDS

  • Dentist
  • Hammond, LA
National Provider Identifier
1386210250
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7204 Issued in LA
Practice address
800 C M Fagan Dr Ste a
Hammond, LA 70403-6062
Phone
(985) 345-5888
NPI assigned
Jun 1, 2021
Last updated
Jun 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7204 LA Primary

Addresses

Primary practice location

800 C M Fagan Dr Ste a
Hammond, LA 70403-6062

Mailing address

4872 Alcee Fortier Blvd
New Orleans, LA 70129-1602
Phone (504) 450-7688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20210611001423 LA Order and Referring Only - DentistPractitioner - Dentist 1355741406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7204LAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hammond Dental Office of Joseph R. Lacoste, Jr., DDS Dentist CurrentSince Sep 28, 2025 Accepting new patients

Locations

800 C M Fagan Dr
Ste A
Hammond, LA 70403
Phone (985) 345-5888

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1386210250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4872 ALCEE FORTIER BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701291602",
            "telephone_number": "504-450-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 C M FAGAN DR STE A",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036062",
            "telephone_number": "985-345-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANTHONY HIEU",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.