Individual provider Active NPI

Nhu Thuy Luong

  • Dentist
  • Washington, DC
National Provider Identifier
1477912020
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN1001745 Issued in DC
Practice address
5101 Wisconsin Ave NW Ste 107
Washington, DC 20016-4136
Phone
(202) 364-8989
NPI assigned
Feb 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X DEN1001745 DC Primary

Addresses

Primary practice location

5101 Wisconsin Ave NW Ste 107
Washington, DC 20016-4136

Mailing address

1315 Kennedy St NW
Washington, DC 20011-3515
Phone (716) 574-9808

Other practice location 1

6410 Rockledge Dr Ste 106
Bethesda, MD 20817-1825
Phone (301) 530-3600

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

LicenseStateTypeSpecialty
DEN1001745DCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Yelena Obholz, D.D.S., P.L.L.C. CurrentSince May 21, 2023 Accepting new patients
Bernard L. Greenbaum, DDS, PC PastSince Nov 2, 2017 Accepting new patients
GD MD LLC PastSince Dec 22, 2024 Accepting new patients

Locations

5101 Wisconsin Ave NW
Ste 107
Washington, DC 20016
Phone (202) 364-8989

Organizations & group practices 3

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": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1477912020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 KENNEDY ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200113515",
            "telephone_number": "716-574-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 WISCONSIN AVE NW STE 107",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164136",
            "telephone_number": "202-364-8989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6410 Rockledge Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171825",
            "country_code": "US",
            "telephone_number": "301-530-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUONG",
        "first_name": "NHU THUY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1001745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.