Individual provider Active NPI

Thang Nguyen, DMD

  • General Practice Dentistry
  • Jonestown, PA
National Provider Identifier
1417524786
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS043161 Issued in PA
Practice address
310 N Lancaster St
Jonestown, PA 17038-8909
Phone
(717) 865-5211
NPI assigned
Jun 7, 2021
Last updated
Jun 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS043161 PA Primary

Addresses

Primary practice location

310 N Lancaster St
Jonestown, PA 17038-8909

Mailing address

5211 C St
Philadelphia, PA 19120-3608

Other practice location 1

6760 Market St
Upper Darby, PA 19082-2449
Phone (610) 436-8485

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
DS043161PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Corner Dental Group PA Current Accepting new patients
Access Dentistry, LLC PastSince Jul 28, 2019 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": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1417524786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 C ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191203608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N LANCASTER ST",
            "city": "JONESTOWN",
            "state": "PA",
            "postal_code": "170388909",
            "telephone_number": "717-865-5211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6760 Market St",
            "address_purpose": "LOCATION",
            "city": "Upper Darby",
            "state": "PA",
            "postal_code": "190822449",
            "country_code": "US",
            "telephone_number": "610-436-8485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THANG",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS043161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.