Active NPI
An Le-Duy Nguyen, DMD
- General Practice Dentistry
- Youngsville, LA
National Provider Identifier
1700447380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7006
- Practice address
- 3014 E Milton Ave
Youngsville, LA 70592-5588 - Phone
- (337) 857-3750
- NPI assigned
- Jun 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 7006 | LA | Primary |
Addresses
Primary practice location
3014 E Milton Ave
Youngsville, LA 70592-5588
Mailing address
205 Crooked Stick LN
Lafayette, LA 70506-7542
Phone (407) 222-6747
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 |
|---|---|---|---|
| 7006 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571270400000",
"number": "1700447380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 CROOKED STICK LN",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705067542",
"telephone_number": "407-222-6747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3014 E MILTON AVE",
"city": "YOUNGSVILLE",
"state": "LA",
"postal_code": "705925588",
"telephone_number": "337-857-3750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "AN",
"middle_name": "LE-DUY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-25",
"last_updated": "2019-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "7006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngsville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.