Jackson Nguyen, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS039140 Issued in PA

Practice address

240 Cetronia Rd Ste 121S
Allentown, PA 18104-9263

Phone

(610) 841-5929

NPI assigned

Jul 8, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jnguyen310648@direct-sluhn.org

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.

• Always Precision Dental PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Breinigsville, PA
  • NPI 1679183990
  NPD Authorized official
• Nurture Dental Health PC

  • General Practice Dentistry
  • Allentown, PA
  • NPI 1245733427

  Oral and Maxillofacial Surgery

  NPD

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

{
    "created_epoch": "1341705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447515259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CETRONIA RD STE 121S",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049263",
            "telephone_number": "610-841-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CETRONIA RD STE 121S",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049263",
            "telephone_number": "610-841-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JACKSON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-08",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS039140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Nguyen, PHARMD
• Claudia Nguyen
• Diep D Nguyen, DO
• Duyen U Nguyen, CRNP
• Hai-Yen Nguyen, MD
• Kellie Jo Nguyen, PA
• Linh Kim Nguyen, LDN, RD
• Loanna T Nguyen, FNP
• Mercille Nguyen
• Michael Nguyen, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Allentown, PA
• Providers in Allentown, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.