Active NPI
Thao Nguyen Thi Nguyen
- Dentist
- Coppell, TX
National Provider Identifier
1447989132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39461
- Practice address
- 761 S Macarthur Blvd
Coppell, TX 75019-4227 - Phone
- (972) 393-9700
- NPI assigned
- Jun 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30.027220 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 39461 | TX | Primary |
Addresses
Primary practice location
761 S Macarthur Blvd
Coppell, TX 75019-4227
Mailing address
3246 Navarre Ave
Oregon, OH 43616-3395
Phone (214) 842-1994
Other practice location 1
2109 Hughes Dr
Toledo, OH 43606-3856
Phone (419) 291-7222
Other practice location 2
3246 Navarre Ave
Oregon, OH 43616-3395
Phone (419) 724-1760
Other practice location 3
4321 Talmadge Rd
Toledo, OH 43623-3539
Phone (419) 724-1760
Other practice location 4
1927 Faithon P Lucas SR Blvd
Mesquite, TX 75181-1696
Phone (214) 842-1994
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30.027220 | OH | MD | General Practice Dentistry |
| 39461 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1447989132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3246 NAVARRE AVE",
"city": "OREGON",
"state": "OH",
"postal_code": "436163395",
"telephone_number": "214-842-1994",
"fax_number": "419-291-8095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 S MACARTHUR BLVD",
"city": "COPPELL",
"state": "TX",
"postal_code": "750194227",
"telephone_number": "972-393-9700"
}
],
"practiceLocations": [
{
"address_1": "2109 Hughes Dr",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436063856",
"country_code": "US",
"telephone_number": "419-291-7222",
"fax_number": "419-291-8095",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3246 Navarre Ave",
"address_purpose": "LOCATION",
"city": "Oregon",
"state": "OH",
"postal_code": "436163395",
"country_code": "US",
"telephone_number": "419-724-1760",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4321 Talmadge Rd",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436233539",
"country_code": "US",
"telephone_number": "419-724-1760",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1927 Faithon P Lucas SR Blvd",
"address_purpose": "LOCATION",
"city": "Mesquite",
"state": "TX",
"postal_code": "751811696",
"country_code": "US",
"telephone_number": "214-842-1994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "THAO NGUYEN",
"middle_name": "THI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-08",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.027220",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "39461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.