Tung Nguyen, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE60580126 Issued in WA

Practice address

15446 Bel Red Rd Ste 300
Redmond, WA 98052-5507

Phone

(425) 883-3399

Fax

(425) 883-3391

NPI assigned

Jul 1, 2015

Last updated

Jun 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chris Chen. DMD, MPH, PLLC

  dba Bel-Red Pediatric Dentistry

  • Dental Clinic/Center
  • Redmond, WA
  • NPI 1063799062
  NPD (past)
• Ekapoj Thongin III, DMD, PLLC

  dba 8 to 8 DENTAL SMOKEY POINT

  • Dental Clinic/Center
  • Arlington, WA
  • NPI 1265828305
  NPD (past)

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1629451166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 S STATE ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981444302",
            "telephone_number": "206-434-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15446 BEL RED RD STE 300",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525507",
            "telephone_number": "425-883-3399",
            "fax_number": "425-883-3391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6222 NE 74th St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981158158",
            "country_code": "US",
            "telephone_number": "206-434-5882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TUNG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60580126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nexacare LLC
• Vinh Duc Ngo, PHARMD, RPH
• Joanne Nguyen, MSW, LSWAIC
• Lisa Ngoc Nguyen, PHARM.D., BCPS
• Phuc Nguyen, EAMP
• Vince Duc Nguyen, PHARMD
• William Toan Nguyen, M.D.
• Amy N Nichols, MSW, LCSW, LICSW
• Dena E Nichols, MS
• Jacqueline Nienaber, LMHC

• Pediatric Dentistry in Redmond, WA
• Providers in Redmond, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.

Verify at the official NPI Registry.