Brian Dzung Nguyen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4856 Issued in NV

Practice address

450 E Silverado Ranch Blvd Ste 105
Las Vegas, NV 89183-6204

Phone

(702) 263-8820

Fax

(702) 914-8121

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Mr. Dung Manh Anh Nguyen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tri State Dental

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1578153276
  NPD (past) Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1477640290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E SILVERADO RANCH BLVD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891836204",
            "telephone_number": "702-263-8820",
            "fax_number": "702-914-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E SILVERADO RANCH BLVD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891836204",
            "telephone_number": "702-263-8820",
            "fax_number": "702-914-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BRIAN",
        "middle_name": "DZUNG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4856",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6190",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58907",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DUNG",
            "last_name": "NGUYEN",
            "middle_name": "MANH ANH",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin Nguyen, D.C.
• Benjamin B. Nguyen, D.M.D.
• Benjamin Pham Nguyen
• Billy Nguyen
• Binh Nguyen, PT, DPT
• Caroline Nguyen, M.D.
• Cat-Hien T. Nguyen, DDS
• Chanel Nguyen, DMD
• CHI Nguyen
• Christian Allen Nguyen

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.