Individual provider Active NPI

Thao Nguyen Thi Nguyen

  • Dentist
  • Coppell, TX
National Provider Identifier
1447989132
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39461 Issued in TX
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

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
30.027220OHMDGeneral Practice Dentistry
39461TXMDPharmacist

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.

Verify at the official NPI Registry.