Active NPI
Long Nguyen, DMD
- Endodontics
- Pahrump, NV
National Provider Identifier
1710307392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- S7-92
- Practice address
- 150 S Highway 160 Ste C-11
Pahrump, NV 89048-2176 - Phone
- (775) 727-8818
- NPI assigned
- Apr 22, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | S7-92 | NV | Primary |
| General Practice Dentistry | 1223G0001X | 6767 | NV |
Addresses
Primary practice location
150 S Highway 160 Ste C-11
Pahrump, NV 89048-2176
Mailing address
1721 Tangiers Dr
Henderson, NV 89012-7239
Phone (702) 328-1427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171019001233 | NV | Order and Referring Only - Dentist | 4688940638 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6767 | NV | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470528000000",
"number": "1710307392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 TANGIERS DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890127239",
"telephone_number": "702-328-1427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S HIGHWAY 160 STE C-11",
"city": "PAHRUMP",
"state": "NV",
"postal_code": "890482176",
"telephone_number": "775-727-8818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "LONG",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-22",
"last_updated": "2016-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NV",
"license": "S7-92",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "6767",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pahrump, NV
- Nevada State Health Division/Far Nursin (Frontier and Rural Public Health)
- Nevada State Health Division/Far Nursin (Frontier and Rural Public Health)
- New Perspectives Behavioral Health LLC
- Nextgen Healthcare Solutions
- Justin NG, OD
- Tim T Nguyen, D.D.S
- Amber Noelle Nieblas
- Beronica Luz Nieves
- Joseph Nold
- Darrel Nolen
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.