Individual provider Active NPI

Hop Huu Nguyen, D.M.D.

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1457569873
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4760T Issued in NV
Practice address
4280 S Hualapai Way Ste 101
Las Vegas, NV 89147-8397
Phone
(702) 221-4236
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4760T NV Primary

Addresses

Primary practice location

4280 S Hualapai Way Ste 101
Las Vegas, NV 89147-8397

Mailing address

4280 S Hualapai Way Ste 101
Las Vegas, NV 89147-8397
Phone (702) 221-4236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160415001894 NV Order and Referring Only - DentistPractitioner - Dentist 9133427693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4760TNVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
DO NG Dental, Inc. General Practice Past Accepting new patients

Organizations & group practices 1

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457569873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 S HUALAPAI WAY STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478397",
            "telephone_number": "702-221-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 S HUALAPAI WAY STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478397",
            "telephone_number": "702-221-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HOP",
        "middle_name": "HUU",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4760T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.