Active NPI
Alan Nguyen, D.D.S.
- General Practice Dentistry
- Bryant, AR
National Provider Identifier
1689129447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4131
- Practice address
- 4909 Highway 5 N # 700
Bryant, AR 72022-7002 - Phone
- (501) 847-9191
- Fax
- (501) 847-8337
- NPI assigned
- Aug 22, 2016
- Last updated
- Jan 14, 2021
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4131 | AR | Primary |
Addresses
Primary practice location
4909 Highway 5 N # 700
Bryant, AR 72022-7002
Mailing address
612 W Commerce Dr Ste 1
Bryant, AR 72022-7517
Phone (501) 847-9191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4131 | AR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A M Nguyen DDS Inc | Current | Accepting new patients | |
| A Matthew Nguyen DDS Corp. | Current | Accepting new patients | |
| Dr. Alan Nguyen DDS | Current | Accepting new patients |
Locations
4909 Highway 5 N
Ste 700
Bryant, AR 72022
Phone (501) 847-9191
Organizations & group practices 3
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.
-
- Dentist
- Little Rock, AR
- NPI 1003589128
-
dba Sheridan Family Dentistry
- Dental Clinic/Center
- Bryant, AR
- NPI 1154067999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1689129447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 W COMMERCE DR STE 1",
"city": "BRYANT",
"state": "AR",
"postal_code": "720227517",
"telephone_number": "501-847-9191",
"fax_number": "501-847-8337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4909 HIGHWAY 5 N # 700",
"city": "BRYANT",
"state": "AR",
"postal_code": "720227002",
"telephone_number": "501-847-9191",
"fax_number": "501-847-8337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "ALAN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-22",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "4131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryant, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.