Individual provider Active NPI

Tram Ngoc Nguyen, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clinton, MD
National Provider Identifier
1558645580
Registry record updated Mar 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
16197 Issued in MD
Practice address
6306 Kirby Rd
Clinton, MD 20735-1336
Phone
(301) 868-1331
NPI assigned
Oct 10, 2011
Last updated
Mar 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 25927 TX
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 16197 MD Primary

Addresses

Primary practice location

6306 Kirby Rd
Clinton, MD 20735-1336

Mailing address

6306 Kirby Rd
Clinton, MD 20735-1336
Phone (301) 868-1331

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
25927TXMDOrthodontics and Dentofacial Orthopedic Dentist
16197MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton Braces Current Accepting new patients
Clinton Braces Orthodontics and Dentofacial Orthopedics CurrentSince Dec 18, 2022 Accepting new patients

Locations

6306 Kirby Rd
Clinton, MD 20735
Phone (301) 868-1331

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, 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": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457827200000",
    "number": "1558645580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6306 KIRBY RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351336",
            "telephone_number": "301-868-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6306 KIRBY RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351336",
            "telephone_number": "301-868-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRAM",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2016-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "25927",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "16197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2016; 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.