Individual provider Active NPI

Thien-an Nonesupplied Nguyen, MD

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1669663654
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N5909 Issued in TX
Practice address
6029 Belt Line Rd
Dallas, TX 75254-9109
Phone
(972) 385-0000
NPI assigned
Aug 6, 2007
Last updated
May 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N5909 TX Primary

Addresses

Primary practice location

6029 Belt Line Rd
Dallas, TX 75254-9109

Mailing address

506 Hugh Walker Dr
Mesquite, TX 75149-2694

Other identifiers 1

IdentifierTypeStateIssuer
4641183852OtherMYUTMB 4641183852

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
I20100901000934 TX Practitioner - Family Practice 4688798812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

905 N Jupiter Rd
Suite 160
Richardson, TX 75081-7714
Phone (972) 479-9960

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N5909TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cubic Care Incorporated Family Medicine CurrentSince Jun 21, 2012 Accepting new patients

Locations

905 N Jupiter Rd
Ste 160
Richardson, TX 75081
Phone (972) 479-9960

Organizations & group practices 1

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1669663654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 HUGH WALKER DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6029 BELT LINE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752549109",
            "telephone_number": "972-385-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THIEN-AN",
        "middle_name": "NONESUPPLIED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N5909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 4641183852",
            "identifier": "4641183852",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.