NPIMap

Organization Active NPI

D Nguyen, DDS, PS

  • Pediatric Dentistry
  • Issaquah, WA
National Provider Identifier
1689795593
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE00008172 Issued in WA
Legal business name
D NGUYEN, DDS, PS
Doing business as
Pacific Dental Care
Practice address
670 NW Gilman Blvd Ste B3
Issaquah, WA 98027-2444
Phone
(425) 557-6453
Fax
(425) 391-5556
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Dzon Manh Nguyen, D.D.S., F.A.G.D.NPI 1851430136
Title
President
Phone
(435) 557-6453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DE00008773 WA
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X DE00008172 WA Primary

Addresses

Primary practice location

670 NW Gilman Blvd Ste B3
Issaquah, WA 98027-2444

Mailing address

670 NW Gilman Blvd Ste B3
Issaquah, WA 98027-2444
Phone (425) 557-6453

Other names 1

  • Pacific Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

670 NW Gilman Blvd
Ste B3
Issaquah, WA 98027
Phone (425) 557-6453

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1689795593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 NW GILMAN BLVD STE B3",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272444",
            "telephone_number": "425-557-6453",
            "fax_number": "425-391-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 NW GILMAN BLVD STE B3",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272444",
            "telephone_number": "425-557-6453",
            "fax_number": "425-391-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D NGUYEN, DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DZON",
        "authorized_official_middle_name": "MANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-557-6453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., F.A.G.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00008773",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE00008172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.