Individual provider Active NPI

Anh-Thu DO Nguyen, DMD

  • Dentist
  • Vancouver, WA
National Provider Identifier
1629555487
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60881703 Issued in WA
Practice address
512 NE 81St St Ste G
Vancouver, WA 98665-8134
Phone
(360) 735-9422
Fax
(877) 323-7971
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60881703 WA Primary

Addresses

Primary practice location

512 NE 81St St Ste G
Vancouver, WA 98665-8134

Mailing address

512 NE 81St St Ste G
Vancouver, WA 98665-8134
Phone (360) 735-9422

Other practice location 1

1057 12th Ave
Longview, WA 98632-2509
Phone (360) 703-6700

Other identifiers 1

IdentifierTypeStateIssuer
1629555487OtherWANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE60881703WAMDDentist

Interoperability endpoints

  • Direct secure messaging: anguyen297433@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1629555487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 NE 81ST ST STE G",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658134",
            "telephone_number": "360-735-9422",
            "fax_number": "877-323-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 NE 81ST ST STE G",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658134",
            "telephone_number": "360-735-9422",
            "fax_number": "877-323-7971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1057 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322509",
            "country_code": "US",
            "telephone_number": "360-703-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANH-THU",
        "middle_name": "DO",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60881703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1629555487",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.