Active NPI
An T Nguyen, D.D.S.
- General Practice Dentistry
- Forest Hills, NY
National Provider Identifier
1578896676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 054465-1
- Practice address
- 7031A 108TH St
Suite 1
Forest Hills, NY 11375-4424 - Phone
- (718) 263-0223
- Fax
- (763) 201-5147
- NPI assigned
- Sep 9, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 010096 | CT | |
| General Practice Dentistry | 1223G0001X | 054465-1 | NY | Primary |
Addresses
Primary practice location
7031A 108TH St
Suite 1
Forest Hills, NY 11375-4424
Mailing address
14468 26TH Ave
Floor 2
Flushing, NY 11354-1327
Phone (212) 729-6839
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03253207 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150820009922 | NY | Order and Referring Only - Other (Non-Physician) | 8022323013 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054465-1 | NY | MD | General Practice Dentistry |
| 010096 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atn Dental PLLC | General Practice | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Forest Hills, NY
- NPI 1407150824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430956800000",
"number": "1578896676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14468 26TH AVE",
"address_2": "FLOOR 2",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113541327",
"telephone_number": "212-729-6839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7031A 108TH ST",
"address_2": "SUITE 1",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754424",
"telephone_number": "718-263-0223",
"fax_number": "763-201-5147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "AN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-09",
"last_updated": "2015-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "010096",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "054465-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03253207",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.