Active NPI
Devereux & Nguyen Gulfport PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Gulfport, MS
National Provider Identifier
1689084964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- DEVEREUX & NGUYEN GULFPORT PLLC
- Practice address
- 411 Security SQ
Gulfport, MS 39507-1922 - Phone
- (228) 896-8355
- NPI assigned
- May 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Phuong Nguyen, DDS
- Title
- Owner
- Phone
- (228) 896-8355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
411 Security SQ
Gulfport, MS 39507-1922
Mailing address
411 Security SQ
Gulfport, MS 39507-1922
Phone (228) 896-8355
Other names 1
- DEVEREUX AND NGUYEN ORTHODONTICS
National Provider Directory
National Provider DirectoryLocations
411 Security Sq
Gulfport, MS 39507
Phone (228) 896-8355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399420800000",
"number": "1689084964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 SECURITY SQ",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395071922",
"telephone_number": "228-896-8355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 SECURITY SQ",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395071922",
"telephone_number": "228-896-8355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVEREUX & NGUYEN GULFPORT PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-07",
"last_updated": "2014-05-07",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "PHUONG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "228-896-8355",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DEVEREUX AND NGUYEN ORTHODONTICS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.