Individual provider Active NPI

Dzuy Manh Nguyen, DDS MSD

  • Endodontics
  • Seattle, WA
National Provider Identifier
1639395973
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
7630 Issued in WA
Practice address
720 Olive Way Ste 860
Seattle, WA 98101-1889
Phone
(206) 521-3636
Fax
(206) 521-3639
NPI assigned
Apr 17, 2007
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 7630 WA Primary

Addresses

Primary practice location

720 Olive Way Ste 860
Seattle, WA 98101-1889

Mailing address

720 Olive Way Ste 860
Seattle, WA 98101-1889
Phone (206) 521-3636

Other practice location 1

32114 1st Ave S
Ste 101
Federal Way, WA 98003-5760
Phone (253) 952-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Sep 2, 2021 through Sep 2, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7630WAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Dzuy Nguyen DDS MSD PLLC CurrentSince Jan 15, 2023 Accepting new patients
Erik P. Balinghasay, DDS, Inc. Endodontics CurrentSince May 4, 2025 Accepting new patients

Locations

720 Olive Way
Ste 860
Seattle, WA 98101
Phone (206) 521-3636

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1639395973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 OLIVE WAY STE 860",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011889",
            "telephone_number": "206-521-3636",
            "fax_number": "206-521-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 OLIVE WAY STE 860",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011889",
            "telephone_number": "206-521-3636",
            "fax_number": "206-521-3639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32114 1st Ave S",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980035760",
            "country_code": "US",
            "telephone_number": "253-952-3636",
            "fax_number": "253-952-4295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DZUY",
        "middle_name": "MANH",
        "name_prefix": "Dr.",
        "credential": "DDS MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "7630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.