Active NPI
Alvin Nguyen
- General Practice Dentistry
- Orlando, FL
National Provider Identifier
1609258698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN23837
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230725001222 | FL | Order and Referring Only - Dentist | 6608237508 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS040493 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amp Oral and Maxillofacial Surgery, PA | Past | Accepting new patients | |
| Nona Dentists, PA | Past | 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Orlando, FL
- NPI 1144812348
-
- Dentist
- Lake Nona, Orlando, FL
- NPI 1427574151
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.