Organization Active NPI

Whitehurst and Nguyen Dental PLLC

Doing business as Legacy Dental

  • Dental Clinic/Center
  • Austin, MN
National Provider Identifier
1700525078
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WHITEHURST AND NGUYEN DENTAL PLLC
Doing business as
Legacy Dental
Practice address
800 1St Ave SW
Austin, MN 55912-2507
Phone
(507) 437-8208
NPI assigned
Jun 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Authorized official

Name
Dr. Alexander Nguyen, DDSNPI 1710596598
Title
Owner
Phone
(507) 437-8208

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

800 1St Ave SW
Austin, MN 55912-2507

Mailing address

1722 Canary Dr
Albert Lea, MN 56007-1314
Phone (763) 447-1673

Other names 1

  • Legacy Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1700525078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 CANARY DR",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560071314",
            "telephone_number": "763-447-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 1ST AVE SW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559122507",
            "telephone_number": "507-437-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEHURST AND NGUYEN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2023-08-11",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-437-8208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.