Individual provider Active NPI

Trang Thu Nguyen, D.P.M.

  • Podiatrist
  • Richardson, TX
National Provider Identifier
1437222858
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1688 Issued in TX
Practice address
100 S Cottonwood Dr
Suite a
Richardson, TX 75080-5705
Phone
(972) 231-3122
Fax
(972) 231-2021
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1688 TX Primary

Addresses

Primary practice location

100 S Cottonwood Dr
Suite a
Richardson, TX 75080-5705

Mailing address

100 S Cottonwood Dr
Suite a
Richardson, TX 75080-5705
Phone (972) 231-3122

Other identifiers 3

IdentifierTypeStateIssuer
0023MEOtherTXBLUE SHIELD
8AX000OtherTXBLUE SHIELD
173736301MedicaidTX

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
I20041210000673 TX Practitioner - Podiatry 8022079920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1144 N Plano Rd
Suite 230
Richardson, TX 75081-2476
Phone (972) 231-3122

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue899
Removal or shaving of skin growth336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1688TXMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
Trang Thu Nguyen, DPM, PA Podiatrist CurrentSince Sep 17, 2004 Accepting new patients

Locations

1144 N Plano Rd
Ste 230
Richardson, TX 75081
Phone (972) 231-3122

100 S Cottonwood Dr
#A
Richardson, TX 75080
Phone (972) 231-3122

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1437222858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S COTTONWOOD DR",
            "address_2": "SUITE A",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805705",
            "telephone_number": "972-231-3122",
            "fax_number": "972-231-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S COTTONWOOD DR",
            "address_2": "SUITE A",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805705",
            "telephone_number": "972-231-3122",
            "fax_number": "972-231-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRANG",
        "middle_name": "THU",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0023ME",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "8AX000",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173736301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.