Doan Trang Nguyen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

29856 Issued in TX

Practice address

3030 Centre Pointe Dr
Suite #100
Roseville, MN 55113

Phone

(651) 774-7144

NPI assigned

Jan 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Peterson & Peterson DDS PA

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1013988765
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1720059710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 CENTRE POINTE DR",
            "address_2": "SUITE #100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 CENTRE POINTE DR",
            "address_2": "SUITE #100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-774-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DOAN TRANG",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11611",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510613300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Leaf Therapy, Inc.
• Bailey Newell, MA, LMFT
• Susanna M Newsome, R.N.
• Lucy Njeri Ngure, RN
• Thanh Son Thi Nguyen-Kelly, PH.D., LP, DABPS
• Kevin Quynh Nguyen, M.D.
• Lam Phuong Nguyen, DDS
• Nice Healthcare PLLC
• Rebecca Nielsen
• Jacob Niemela, PHARM.D.

• Dentist in Roseville, MN
• Providers in Roseville, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.