Individual provider Active NPI

Dan Dinh Nguyen, D.O.

  • Family Medicine Physician
  • Farmers Branch, TX
National Provider Identifier
1407934987
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L6126 Issued in TX
Practice address
12879 Josey LN
Suite 100
Farmers Branch, TX 75234-6396
Phone
(972) 247-3600
Fax
(972) 247-3602
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L6126 TX Primary

Addresses

Primary practice location

12879 Josey LN
Suite 100
Farmers Branch, TX 75234-6396

Mailing address

12879 Josey LN
Suite 100
Farmers Branch, TX 75234-6396
Phone (972) 247-3600

Other identifiers 3

IdentifierTypeStateIssuer
TXB115834OtherMEDICARE INDIVIDUAL PTAN
TXB115833OtherMEDICARE GROUP PTAN
1846388MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060315000572 TX Practitioner - Family Practice 1658394275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12879 Josey LN
Farmers Branch, TX 75234-6909
Phone (972) 247-3600

12879 Josey LN
Suite 100
Farmers Branch, TX 75234-6396

Hospital & facility affiliations

  • Medical City Las Colinas Hospital, Irving, TX, CCN 450822

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
L6126TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dan Dinh Nguyen D.O. P.a. CurrentSince Nov 1, 2010 Accepting new patients
Primamed Physicians PLLC PastSince Feb 9, 2025 Accepting new patients
Primamed Physicians PLLC Past Accepting new patients

Locations

12879 Josey Ln
Ste 100
Farmers Brnch, TX 75234
Phone (972) 247-3600

Interoperability endpoints

  • Direct secure messaging: dmcdanguy@yourcarecommunity.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHBJBA/Endpoint/AHBJBA
  • Direct secure messaging: dan.nguyen@mcofb.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1407934987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12879 JOSEY LN",
            "address_2": "SUITE 100",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752346396",
            "telephone_number": "972-247-3600",
            "fax_number": "972-247-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12879 JOSEY LN",
            "address_2": "SUITE 100",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752346396",
            "telephone_number": "972-247-3600",
            "fax_number": "972-247-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DAN",
        "middle_name": "DINH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L6126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "TXB115834",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "TXB115833",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1846388",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

Verify at the official NPI Registry.