Active NPI
Quyen Nguyen, DDS
- Dentist
- Berwick, LA
National Provider Identifier
1407203177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6650
- Practice address
- 3495 Highway 182
Berwick, LA 70342-2080 - Phone
- (985) 498-1801
- NPI assigned
- May 23, 2016
- Last updated
- May 23, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6650 | LA | Primary |
Addresses
Primary practice location
3495 Highway 182
Berwick, LA 70342-2080
Mailing address
3495 Highway 182
Berwick, LA 70342-2080
Phone (985) 498-1801
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160726001956 | LA | Order and Referring Only - Other (Physician) | 8820381031 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6650 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1407203177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3495 HIGHWAY 182",
"city": "BERWICK",
"state": "LA",
"postal_code": "703422080",
"telephone_number": "985-498-1801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3495 HIGHWAY 182",
"city": "BERWICK",
"state": "LA",
"postal_code": "703422080",
"telephone_number": "985-498-1801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "QUYEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-23",
"last_updated": "2016-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "6650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berwick, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.