Individual provider Active NPI

Dang Nguyen, MD

  • Family Medicine Physician
  • Sulphur, LA
National Provider Identifier
1699790089
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200889 Issued in LA
Practice address
3702 Maplewood Dr
Sulphur, LA 70663-6302
Phone
(337) 527-6530
Fax
(337) 527-7337
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200889 LA Primary

Addresses

Primary practice location

3702 Maplewood Dr
Sulphur, LA 70663-6302

Mailing address

3702 Maplewood Dr
Sulphur, LA 70663-6302
Phone (337) 527-6530

Other identifiers 1

IdentifierTypeStateIssuer
1066281MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061016000404 LA Practitioner - Family Practice 9436155355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maplewood Family Medicine ClinicGroup PAC ID 9638268824, 2 clinicians

Practice addresses (Care Compare)

3702 Maplewood Dr
Sulphur, LA 70663-6302
Phone (337) 625-5459

Hospital & facility affiliations

  • West Calcasieu Cameron Hospital Hospital, Sulphur, LA, CCN 190013
  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200889LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maplewood Family Medicine Clinic Family Medicine CurrentSince Sep 4, 2007 Accepting new patients

Locations

3702 Maplewood Dr
Sulphur, LA 70663
Phone (337) 625-5459

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1699790089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 MAPLEWOOD DR",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706636302",
            "telephone_number": "337-527-6530",
            "fax_number": "337-527-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 MAPLEWOOD DR",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706636302",
            "telephone_number": "337-527-6530",
            "fax_number": "337-527-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DANG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "200889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1066281",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

Verify at the official NPI Registry.