Individual provider Active NPI

Dennis Tam Nguyen, DDS

  • Dentist
  • San Antonio, TX
National Provider Identifier
1700703527
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42607 Issued in TX
Practice address
5439 Ray Ellison Blvd
San Antonio, TX 78242-2219
Phone
(210) 922-7000
Fax
(210) 924-1374
NPI assigned
Jul 2, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 42607 TX
Dentist 122300000X 42607 TX Primary

Addresses

Primary practice location

5439 Ray Ellison Blvd
San Antonio, TX 78242-2219

Mailing address

3750 Commercial Ave
San Antonio, TX 78221-3117
Phone (210) 922-7000

Other practice location 1

9011 Poteet Jourdanton Fwy
San Antonio, TX 78224-2124
Phone (210) 922-7000

Other practice location 2

5542 Walzem Rd
Windcrest, TX 78218-2103
Phone (210) 922-7000

Other practice location 3

3750 Commercial Ave
San Antonio, TX 78221-3117
Phone (210) 922-7000

Other practice location 4

910 Wagner Ave
San Antonio, TX 78211-3213
Phone (210) 922-7000

Other practice location 5

4300 Thousand Oaks Dr Ste 103&104
San Antonio, TX 78217-2152
Phone (210) 922-7000

Other identifiers 1

IdentifierTypeStateIssuer
42607OtherTXSTATE DENTAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1782950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1700703527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 COMMERCIAL AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782213117",
            "telephone_number": "210-922-7000",
            "fax_number": "210-924-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5439 RAY ELLISON BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782422219",
            "telephone_number": "210-922-7000",
            "fax_number": "210-924-1374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9011 Poteet Jourdanton Fwy",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782242124",
            "country_code": "US",
            "telephone_number": "210-922-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5542 Walzem Rd",
            "address_purpose": "LOCATION",
            "city": "Windcrest",
            "state": "TX",
            "postal_code": "782182103",
            "country_code": "US",
            "telephone_number": "210-922-7000",
            "fax_number": "210-924-1374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3750 Commercial Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782213117",
            "country_code": "US",
            "telephone_number": "210-922-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 Wagner Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782113213",
            "country_code": "US",
            "telephone_number": "210-922-7000",
            "fax_number": "210-924-1374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 Thousand Oaks Dr Ste 103&104",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782172152",
            "country_code": "US",
            "telephone_number": "210-922-7000",
            "fax_number": "210-924-1374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DENNIS",
        "middle_name": "TAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "42607",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "42607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE NUMBER",
            "identifier": "42607",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.