Individual provider Active NPI

Daniel Nguyen

  • Dermatology Physician
  • Houston, TX
National Provider Identifier
1477014967
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
S9946 Issued in TX
Practice address
819 Peakwood Dr
Houston, TX 77090-2905
Phone
(281) 645-5013
Fax
(713) 903-7958
NPI assigned
Mar 27, 2019
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X S9946 TX Primary

Addresses

Primary practice location

819 Peakwood Dr
Houston, TX 77090-2905

Mailing address

819 Peakwood Dr
Houston, TX 77090-2905
Phone (281) 645-5013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231010000122 TX Practitioner - Dermatology 3274988340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

819 Peakwood Dr
Houston, TX 77090-2905
Phone (281) 645-5013

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of skin lesions276
Removal of skin cancer14
Removal or shaving of skin growth1-10
Skin biopsy230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
S9946TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermpreneur, PLLC Dermatology CurrentSince Sep 22, 2023 Accepting new patients

Locations

819 Peakwood Dr
Houston, TX 77090
Phone (281) 444-1288

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1477014967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 PEAKWOOD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902905",
            "telephone_number": "281-645-5013",
            "fax_number": "713-903-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 PEAKWOOD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902905",
            "telephone_number": "281-645-5013",
            "fax_number": "713-903-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "S9946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.