Active NPI
Rubina D Nguyen, D.D.S.
- Dentist
- Elgin, IL
National Provider Identifier
1457792640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019-025559
- Practice address
- 500 N McLean Blvd Ste 102
Elgin, IL 60123-3275 - Phone
- (847) 854-3031
- Fax
- (224) 227-6906
- NPI assigned
- Jul 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019-025559 | IL | Primary |
Addresses
Primary practice location
500 N McLean Blvd Ste 102
Elgin, IL 60123-3275
Mailing address
500 N McLean Blvd Ste 102
Elgin, IL 60123-3275
Phone (847) 854-3031
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 |
|---|---|---|---|
| 019-025559 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suburban Dental Sleep Medicine LLC | Dentist | Current | Accepting new patients |
Locations
500 N McLean Blvd
Ste 102
Elgin, IL 60123
Phone (847) 854-3031
500 N McLean Blvd
#102
Elgin, IL 60123
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": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1457792640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N MCLEAN BLVD STE 102",
"city": "ELGIN",
"state": "IL",
"postal_code": "601233275",
"telephone_number": "847-854-3031",
"fax_number": "224-227-6906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N MCLEAN BLVD STE 102",
"city": "ELGIN",
"state": "IL",
"postal_code": "601233275",
"telephone_number": "847-854-3031",
"fax_number": "224-227-6906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "RUBINA",
"middle_name": "D",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019-025559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.