Sean Ky Nguyen, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS039720 Issued in PA

Practice address

1447 Deepwell Cir
Jamison, PA 18929-1407

Phone

(267) 884-4631

NPI assigned

Aug 18, 2013

Last updated

Aug 18, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in PA

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

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

{
    "created_epoch": "1376784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376784000000",
    "number": "1407289085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 DEEPWELL CIR",
            "city": "JAMISON",
            "state": "PA",
            "postal_code": "189291407",
            "telephone_number": "267-884-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 DEEPWELL CIR",
            "city": "JAMISON",
            "state": "PA",
            "postal_code": "189291407",
            "telephone_number": "267-884-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SEAN",
        "middle_name": "KY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-18",
        "last_updated": "2013-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS039720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abin Mathew, DPT
• McGlynn Chiropractic
• Richard D Mercadante, D.C.
• Katie Militello
• Jaishree Mistry, PHARM D
• Alyssa Nicolosi
• Optimum Community Care LLC
• Christina Owens
• Nancy H Pachell, SPEECH PATHOLOGIST M
• John A. Pagliei, Jr, D.M.D.

• General Practice Dentistry in Jamison, PA
• Providers in Jamison, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2013; 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.