Individual provider Active NPI

Tuyet T. Nguyen, DDS

  • General Practice Dentistry
  • Bryan, TX
National Provider Identifier
1427032994
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20507 Issued in TX
Practice address
3111 S. Texas Ave.
Bryan, TX 77802-3159
Phone
(979) 446-0270
Fax
(979) 775-7641
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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 20507 TX Primary

Addresses

Primary practice location

3111 S. Texas Ave.
Bryan, TX 77802-3159

Mailing address

3111 S. Texas Ave.
Bryan, TX 77802-3159
Phone (979) 446-0270

Other identifiers 1

IdentifierTypeStateIssuer
20507OtherTXTX STATE BOARD/DENTAL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160113001582 TX Order and Referring Only - DentistPractitioner - Dentist 1153623780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20507TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229558400000",
    "number": "1427032994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 S. TEXAS AVE.",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023159",
            "telephone_number": "979-446-0270",
            "fax_number": "979-775-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 S. TEXAS AVE.",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023159",
            "telephone_number": "979-446-0270",
            "fax_number": "979-775-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TUYET",
        "middle_name": "T.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2008-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX STATE BOARD/DENTAL",
            "identifier": "20507",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.