Active NPI
Tung Ngoc Nguyen, DDS
- Dentist
- Oklahoma City, OK
National Provider Identifier
1639559446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6688
- Practice address
- 5691 Tinker Diagonal
Oklahoma City, OK 73110-2821 - Phone
- (405) 458-5020
- NPI assigned
- Jun 6, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 6688 | OK | Primary |
Addresses
Primary practice location
5691 Tinker Diagonal
Oklahoma City, OK 73110-2821
Mailing address
5691 Tinker Diagonal
Oklahoma City, OK 73110-2821
Phone (405) 458-5020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200656610A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160414001042 | OK | Order and Referring Only - Dentist | 0244538809 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475020800000",
"number": "1639559446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5691 TINKER DIAGONAL",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731102821",
"telephone_number": "405-458-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5691 TINKER DIAGONAL",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731102821",
"telephone_number": "405-458-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TUNG",
"middle_name": "NGOC",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-06",
"last_updated": "2016-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "6688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200656610A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.