Active NPI
Steven Nguyen, DMD
- Dentist
- Bothell, WA
National Provider Identifier
1689182255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60793009
- Practice address
- 20711 35TH Dr SE
Bothell, WA 98021-7022 - Phone
- (425) 286-7452
- NPI assigned
- Jan 17, 2018
- 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 | DE60793009 | WA | Primary |
Addresses
Primary practice location
20711 35TH Dr SE
Bothell, WA 98021-7022
Mailing address
20711 35TH Dr SE
Bothell, WA 98021-7022
Phone (425) 286-7452
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WA525107 | Other | NORDIC |
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 |
|---|---|---|---|
| DE60793009 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516147200000",
"number": "1689182255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20711 35TH DR SE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980217022",
"telephone_number": "425-286-7452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20711 35TH DR SE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980217022",
"telephone_number": "425-286-7452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-17",
"last_updated": "2018-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60793009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORDIC",
"identifier": "WA525107",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.