Individual provider Active NPI

Nancy Nguyen

  • Dentist
  • Chicago, IL
National Provider Identifier
1477906287
Registry record updated Jul 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.030752 Issued in IL
Practice address
834 W Montrose Ave Ste 101
Chicago, IL 60613-1997
Phone
(773) 459-6965
NPI assigned
Jul 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.030752 IL Primary

Addresses

Primary practice location

834 W Montrose Ave Ste 101
Chicago, IL 60613-1997

Mailing address

834 W Montrose Ave Ste 101
Chicago, IL 60613-1997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20170112000059 IL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4880975564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.030752ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy Nguyen DMD Inc. CurrentSince Dec 14, 2025 Accepting new patients

Locations

834 W Montrose Ave
Ste 101
Chicago, IL 60613
Phone (773) 459-6965

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": "1468627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468627200000",
    "number": "1477906287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 W MONTROSE AVE STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 W MONTROSE AVE STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131997",
            "telephone_number": "773-459-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-16",
        "last_updated": "2016-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.030752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.