Individual provider Active NPI

Steven Nguyen, DDS

  • General Practice Dentistry
  • McKinney, TX
National Provider Identifier
1548879935
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36414 Issued in TX
Practice address
6451 W University Dr
Suite 300
McKinney, TX 75071
Phone
(469) 712-2046
Fax
(469) 617-6508
NPI assigned
Jul 30, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 36414 TX Primary

Addresses

Primary practice location

6451 W University Dr
Suite 300
McKinney, TX 75071

Mailing address

2722 Parkview PL
Lewisville, TX 75067-7827
Phone (469) 386-9007

Other practice location 1

2203 W University Dr
Denton, TX 76201-0615
Phone (940) 514-0700

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
36414TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
MDRN Dental Studio General Practice CurrentSince Dec 3, 2023 Accepting new patients
Legacy Dental of Desoto PLLC General Practice PastSince Aug 1, 2020 Accepting new patients

Locations

6451 W University Dr
Ste 300
McKinney, TX 75071
Phone (469) 712-2046

Organizations & group practices 2

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": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1548879935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 PARKVIEW PL",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750677827",
            "telephone_number": "469-386-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 W UNIVERSITY DR",
            "address_2": "SUITE 300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75071",
            "telephone_number": "469-712-2046",
            "fax_number": "469-617-6508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2203 W University Dr",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762010615",
            "country_code": "US",
            "telephone_number": "940-514-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "STEVEN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-30",
        "last_updated": "2023-11-27",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.