Individual provider Active NPI

Nghia Thien Nguyen, DDS

  • General Practice Dentistry
  • Grand Prairie, TX
National Provider Identifier
1669025201
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35501 Issued in TX
Practice address
2650 S State Highway 161
Grand Prairie, TX 75052-7205
Phone
(469) 203-8400
NPI assigned
Jul 23, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 35501 TX Primary

Addresses

Primary practice location

2650 S State Highway 161
Grand Prairie, TX 75052-7205

Mailing address

2403 N Washington Ave Apt 144
Dallas, TX 75204-3728
Phone (712) 204-4777

Other practice location 1

7075 W Wheatland Rd
Dallas, TX 75249-1067
Phone (469) 608-6228

Other practice location 2

2823 Kendale Dr
Dallas, TX 75220-4736
Phone (214) 350-8800

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191003002423 TX Order and Referring Only - DentistPractitioner - Dentist 2961733084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35501TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1669025201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 N WASHINGTON AVE APT 144",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043728",
            "telephone_number": "712-204-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 S STATE HIGHWAY 161",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527205",
            "telephone_number": "469-203-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7075 W Wheatland Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752491067",
            "country_code": "US",
            "telephone_number": "469-608-6228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2823 Kendale Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752204736",
            "country_code": "US",
            "telephone_number": "214-350-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NGHIA",
        "middle_name": "THIEN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.