Active NPI
Donna Trang Nguyen, DMD
- Dentist
- Nashville, IL
National Provider Identifier
1639364490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Practice address
- 520 East St Louis Street
Nashville, IL 62263 - Phone
- (618) 327-4315
- Fax
- (618) 327-4480
- NPI assigned
- Sep 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | IL | Primary |
Addresses
Primary practice location
520 East St Louis Street
Nashville, IL 62263
Mailing address
520 East St Louis Street
Nashville, IL 62263
Phone (618) 327-4315
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019024476 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189641600000",
"number": "1639364490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 EAST ST LOUIS STREET",
"city": "NASHVILLE",
"state": "IL",
"postal_code": "62263",
"telephone_number": "618-327-4315",
"fax_number": "618-327-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 EAST ST LOUIS STREET",
"city": "NASHVILLE",
"state": "IL",
"postal_code": "62263",
"telephone_number": "618-327-4315",
"fax_number": "618-327-4480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "DONNA",
"middle_name": "TRANG",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-13",
"last_updated": "2007-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.