Evan Huu Nguyen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D011446 Issued in AZ

Practice address

4837 N 35TH Ave
Phoenix, AZ 85017-3011

Phone

(602) 242-5406

NPI assigned

Jul 7, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Huu Nguyen LLC

  • General Practice Dentistry
  • Avondale, AZ
  • NPI 1043072226
  NPD
• Aaa Dental Care PC

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1457478299
  NPD (past)
• Avondale Family Dental Care PC.

  • General Practice Dentistry
  • Avondale, AZ
  • NPI 1548387384
  NPD (past)

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1457084493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 E HARVARD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4837 N 35TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850173011",
            "telephone_number": "602-242-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "EVAN",
        "middle_name": "HUU",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dung Nguyen
• Dungchi Nguyen, DO
• Duy Tran Nguyen, MD
• Elizabeth Nguyen
• Elizabeth Ann Gaddi Nguyen, DO
• Francis Nguyen, DO
• Gabrielle Thi Nguyen
• George Van Nguyen, MD
• Hai Nguyen
• Han Nguyen, PHARMD

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.