Active NPI
Brian Nguyen
- Dentist
- Georgetown, TX
National Provider Identifier
1528767274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 42544
- Practice address
- 19368 Ronald W Reagan Blvd Ste 150
Georgetown, TX 78628-4267 - Phone
- (737) 843-4226
- NPI assigned
- Mar 1, 2023
- Last updated
- Jul 6, 2026
- Sex
- Male
- 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 | 42544 | TX | Primary |
Addresses
Primary practice location
19368 Ronald W Reagan Blvd Ste 150
Georgetown, TX 78628-4267
Mailing address
3116 Pablo Way
Round Rock, TX 78665-2161
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leander Modern Dentistry, PC | 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, 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": "1677628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1528767274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3116 PABLO WAY",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786652161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19368 RONALD W REAGAN BLVD STE 150",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786284267",
"telephone_number": "737-843-4226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-01",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "42544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.