Active NPI
Cendrine Nguyen, D.D.S.
- General Practice Dentistry
- Garland, TX
National Provider Identifier
1578686267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 21109
- Practice address
- 5949 Broadway Blvd
Suite 115
Garland, TX 75043-3845 - Phone
- (214) 703-9500
- Fax
- (214) 703-9404
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21109 | TX | Primary |
Addresses
Primary practice location
5949 Broadway Blvd
Suite 115
Garland, TX 75043-3845
Mailing address
4510 Park Meadow CT
Garland, TX 75043-7592
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 |
|---|---|---|---|
| 21109 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1578686267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 PARK MEADOW CT",
"city": "GARLAND",
"state": "TX",
"postal_code": "750437592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5949 BROADWAY BLVD",
"address_2": "SUITE 115",
"city": "GARLAND",
"state": "TX",
"postal_code": "750433845",
"telephone_number": "214-703-9500",
"fax_number": "214-703-9404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "CENDRINE",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "21109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.