Active NPI
Jennifer Bichloan Nguyen, DDS
- Dentist
- Seattle, WA
National Provider Identifier
1578764882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60226224
- Practice address
- 1325 4TH Ave
Suite 1230
Seattle, WA 98101-2573 - Phone
- (206) 624-1773
- Fax
- (206) 624-2268
- NPI assigned
- May 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D12391 | MN | |
| Dentist | 122300000X | DE60226224 | WA | Primary |
Addresses
Primary practice location
1325 4TH Ave
Suite 1230
Seattle, WA 98101-2573
Mailing address
1325 4TH Ave
Suite 1230
Seattle, WA 98101-2573
Phone (206) 624-1773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150521000504 | WA | Order and Referring Only - Oral Surgery | 2668792383 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60226224 | WA | MD | Dentist |
| D12391 | MN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359158400000",
"number": "1578764882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 4TH AVE",
"address_2": "SUITE 1230",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012573",
"telephone_number": "206-624-1773",
"fax_number": "206-624-2268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 4TH AVE",
"address_2": "SUITE 1230",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012573",
"telephone_number": "206-624-1773",
"fax_number": "206-624-2268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JENNIFER",
"middle_name": "BICHLOAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2013-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D12391",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60226224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.