Thomas Nguyen

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

100563 Issued in CA

Practice address

55 La Goma St
Mill Valley, CA 94941-2875

Phone

(415) 924-6551

NPI assigned

May 15, 2015

Last updated

Nov 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1588042071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 DUZMAL AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945792354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LA GOMA ST",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412875",
            "telephone_number": "415-924-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-15",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100563",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Marie-Stager Nelson, DPT
• Lee Scott Nelson, LMFT
• Mary Grover Newcomer
• Barbara Newlon, D.O.
• Nghia Huu Nguyen, DMD
• Kristen Susann Nicita, PHARM.D.
• Mira Noble, NP
• North Bay Private Medicine, Inc.
• Nancy Novack, PH.D.
• Christine O'Sullivan

• General Practice Dentistry in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.