Individual provider Active NPI

Uan Cong Nguyen, D.M.D

  • General Practice Dentistry
  • Spring, TX
National Provider Identifier
1417357898
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30706 Issued in TX
Practice address
5677 Treaschwig Rd
Spring, TX 77373-7162
Phone
(281) 645-4205
Fax
(281) 645-4205
NPI assigned
Sep 3, 2014
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE 60496761 WA
General Practice Dentistry 1223G0001X 30706 TX Primary

Addresses

Primary practice location

5677 Treaschwig Rd
Spring, TX 77373-7162

Mailing address

5677 Treaschwig Rd
Spring, TX 77373-7162
Phone (281) 645-4205

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
30706TXMDGeneral Practice Dentistry
DE 60496761WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Un DMD, PLLC Current Accepting new patients
Friend-Ly Dentists, PLLC General Practice PastSince Jan 10, 2021 Accepting new patients

Organizations & group practices 2

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": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1417357898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5677 TREASCHWIG RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773737162",
            "telephone_number": "281-645-4205",
            "fax_number": "281-645-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5677 TREASCHWIG RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773737162",
            "telephone_number": "281-645-4205",
            "fax_number": "281-645-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "UAN",
        "middle_name": "CONG",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-03",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 60496761",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.