Individual provider Active NPI

Hanh Dung Thi Nguyen, DO

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1639238769
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L0454 Issued in TX
Practice address
8420 Abrams Rd Ste 208
Dallas, TX 75243-7582
Phone
(214) 341-5630
Fax
(214) 341-5689
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS8021 FL
Family Medicine Physician 207Q00000X L0454 TX Primary

Addresses

Primary practice location

8420 Abrams Rd Ste 208
Dallas, TX 75243-7582

Mailing address

14860 Montfort Dr
Suite 140, LB 32
Dallas, TX 75254-6718
Phone (214) 341-5630

Other practice location 1

14860 Montfort Dr
Suite 140, LB 32
Dallas, TX 75254-6718
Phone (972) 201-3552

Other practice location 2

14860 Montfort Dr
Suite 140, LB 32
Dallas, TX 75254-6718
Phone (972) 301-3552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060203000344 TX Practitioner - Family Practice 1850305392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14860 Montfort Dr
Suite 140
Dallas, TX 75254-6718
Phone (972) 201-3552

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS8021FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vesta Solutions Group, LLC Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1639238769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14860 MONTFORT DR",
            "address_2": "SUITE 140, LB 32",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752546718",
            "telephone_number": "214-341-5630",
            "fax_number": "214-341-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 ABRAMS RD STE 208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752437582",
            "telephone_number": "214-341-5630",
            "fax_number": "214-341-5689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14860 Montfort Dr",
            "address_2": "Suite 140, LB 32",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752546718",
            "country_code": "US",
            "telephone_number": "972-201-3552",
            "fax_number": "877-658-8663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14860 Montfort Dr",
            "address_2": "Suite 140, LB 32",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752546718",
            "country_code": "US",
            "telephone_number": "972-301-3552",
            "fax_number": "877-658-8663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HANH DUNG",
        "middle_name": "THI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8021",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L0454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.