Individual provider Active NPI

Jenny Yen Phi Nguyen, D.M.D.

  • General Practice Dentistry
  • Tigard, OR
National Provider Identifier
1689890154
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7096 Issued in OR
Practice address
14350 SW Barrows Rd Ste 4
Tigard, OR 97223-2019
Phone
(503) 521-1818
Fax
(503) 524-0661
NPI assigned
Apr 17, 2007
Last updated
Nov 19, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D7096 OR Primary

Addresses

Primary practice location

14350 SW Barrows Rd Ste 4
Tigard, OR 97223-2019

Mailing address

14350 SW Barrows Rd Ste 4
Tigard, OR 97223-2019
Phone (503) 521-1818

Other names 1

  • Jenny Yen Phi Nguyen Other name

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

LicenseStateTypeSpecialty
D7096ORMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1689890154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14350 SW BARROWS RD STE 4",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232019",
            "telephone_number": "503-521-1818",
            "fax_number": "503-524-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 SW BARROWS RD STE 4",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232019",
            "telephone_number": "503-521-1818",
            "fax_number": "503-524-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JENNY",
        "middle_name": "YEN PHI",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "NGUYEN",
            "middle_name": "YEN PHI",
            "credential": "D.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.