Active NPI
Jennifer Caspers Nguyen, DDS
- Dentist
- Centreville, VA
National Provider Identifier
1508040734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401412112
- Practice address
- 5701 Centre Square Dr
Centreville, VA 20120-1916 - Phone
- (703) 968-7022
- NPI assigned
- Dec 24, 2007
- 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 | 0401412112 | VA | Primary |
Addresses
Primary practice location
5701 Centre Square Dr
Centreville, VA 20120-1916
Mailing address
5405 Tuckerman LN
Apt 418
North Bethesda, MD 20852-7301
Phone (717) 817-4805
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 |
|---|---|---|---|
| 0401412112 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffery S. Ackerman D.D.S. LTD. | Dentist | Past | Accepting new patients |
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.
-
- Dentist
- Centreville, VA
- NPI 1821287269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265241600000",
"number": "1508040734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5405 TUCKERMAN LN",
"address_2": "APT 418",
"city": "NORTH BETHESDA",
"state": "MD",
"postal_code": "208527301",
"telephone_number": "717-817-4805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 CENTRE SQUARE DR",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201201916",
"telephone_number": "703-968-7022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JENNIFER",
"middle_name": "CASPERS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-24",
"last_updated": "2010-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401412112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centreville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.