Individual provider Active NPI

Trang Thanh Nguyen, DDS

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1457518409
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18142 Issued in TX
Practice address
3000 Blackburn St Ste 140a
Dallas, TX 75204-2218
Phone
(214) 416-9931
Fax
(214) 416-9937
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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 18142 TX Primary

Addresses

Primary practice location

3000 Blackburn St Ste 140a
Dallas, TX 75204-2218

Mailing address

3000 Blackburn St Ste 140a
Dallas, TX 75204-2218
Phone (214) 416-9931

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
18142TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Knox Dental PLLC General Practice CurrentSince Jun 23, 2024 Accepting new patients
Victory Park Dental PLLC General Practice Current Accepting new patients
Dr Leyla Nourian DDS PA General Practice Past Accepting new patients
Luxe Dental General Practice PastSince Nov 3, 2019 Accepting new patients

Locations

3000 Blackburn St
Ste 140A
Dallas, TX 75204
Phone (214) 416-9931

Organizations & group practices 4

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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1457518409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 BLACKBURN ST STE 140A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042218",
            "telephone_number": "214-416-9931",
            "fax_number": "214-416-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BLACKBURN ST STE 140A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042218",
            "telephone_number": "214-416-9931",
            "fax_number": "214-416-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRANG",
        "middle_name": "THANH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.