Individual provider Active NPI

Christine Anh Tien Nguyen, DDS

  • General Practice Dentistry
  • Orlando, FL
National Provider Identifier
1437565322
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN20576 Issued in FL
Practice address
8624 Lee Vista Blvd
Orlando, FL 32829-8383
Phone
(407) 384-8099
Fax
(407) 384-8735
NPI assigned
Jul 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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 DN20576 FL Primary

Addresses

Primary practice location

8624 Lee Vista Blvd
Orlando, FL 32829-8383

Mailing address

8624 Lee Vista Blvd
Orlando, FL 32829-8383
Phone (407) 384-8099

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
DN20576FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Prixus Medical Group LLC Past Accepting new patients
Comfortable Care Dental Health Professionals, PA General Practice Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1437565322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8624 LEE VISTA BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298383",
            "telephone_number": "407-384-8099",
            "fax_number": "407-384-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8624 LEE VISTA BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298383",
            "telephone_number": "407-384-8099",
            "fax_number": "407-384-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHRISTINE",
        "middle_name": "ANH TIEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.