Individual provider Active NPI

Alvin Nguyen

  • General Practice Dentistry
  • Orlando, FL
National Provider Identifier
1609258698
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN23837 Issued in FL
Practice address
12711 Narcoossee Rd Ste 100
Orlando, FL 32832-6991
Phone
(407) 627-1235
NPI assigned
Jun 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS040493 PA
General Practice Dentistry 1223G0001X DN23837 FL Primary

Addresses

Primary practice location

12711 Narcoossee Rd Ste 100
Orlando, FL 32832-6991

Mailing address

2540 NW 84TH Ave Apt 307
Doral, FL 33122-1547
Phone (832) 729-5582

Other practice location 1

906 Washington St
Conneautville, PA 16406-7138
Phone (814) 373-2286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230725001222 FL Order and Referring Only - DentistPractitioner - Dentist 6608237508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS040493PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Amp Oral and Maxillofacial Surgery, PA PastSince Nov 10, 2019 Accepting new patients
Nona Dentists, PA PastSince Nov 10, 2019 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1609258698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 NW 84TH AVE APT 307",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221547",
            "telephone_number": "832-729-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12711 NARCOOSSEE RD STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326991",
            "telephone_number": "407-627-1235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "906 Washington St",
            "address_purpose": "LOCATION",
            "city": "Conneautville",
            "state": "PA",
            "postal_code": "164067138",
            "country_code": "US",
            "telephone_number": "814-373-2286",
            "fax_number": "814-373-2286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ALVIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040493",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.