Individual provider Active NPI

Tony Nguyen, DDS

  • Dentist
  • Sachse, TX
National Provider Identifier
1568618601
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24195 Issued in TX
Practice address
7360 Highway 78 Ste 100
Sachse, TX 75048-2606
Phone
(972) 429-9911
Fax
(972) 429-9918
NPI assigned
Aug 8, 2008
Last updated
Jun 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 24195 TX Primary

Addresses

Primary practice location

7360 Highway 78 Ste 100
Sachse, TX 75048-2606

Mailing address

7360 Highway 78 Ste 100
Sachse, TX 75048-2606
Phone (972) 429-9911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160331001194 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6507163862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24195TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Davilanguyen Dental PLLC 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": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1568618601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7360 HIGHWAY 78 STE 100",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750482606",
            "telephone_number": "972-429-9911",
            "fax_number": "972-429-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7360 HIGHWAY 78 STE 100",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750482606",
            "telephone_number": "972-429-9911",
            "fax_number": "972-429-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TONY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-08",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sachse, TX

Sources for this page

Verify at the official NPI Registry.