Individual provider Active NPI

Landon Long Nguyen, DDS

  • General Practice Dentistry
  • Irving, TX
National Provider Identifier
1740702075
Registry record updated Jan 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37969 Issued in TX
Practice address
245 E Grauwyler Rd Ste 109
Irving, TX 75061-2635
Phone
(214) 596-9477
NPI assigned
Jul 7, 2017
Last updated
Jan 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 37969 TX Primary

Addresses

Primary practice location

245 E Grauwyler Rd Ste 109
Irving, TX 75061-2635

Mailing address

5500 State Highway 121 Apt 721
The Colony, TX 75056-4289
Phone (714) 336-6229

Other identifiers 1

IdentifierTypeStateIssuer
37969OtherTXTEXAS STATE BOARD OF DENTAL EXAMINERS

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dazzle Family Dental PLLC General Practice CurrentSince Dec 22, 2024 Accepting new patients
Landon Long Nguyen PLLC Current Accepting new patients
J Yip DMD PLLC PastSince Feb 8, 2023 Accepting new patients
Judge and Sharifian Dental Corporation General Practice Past Accepting new patients

Locations

245 E Grauwyler Rd
Ste 109
Irving, TX 75061
Phone (214) 596-9477

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674950400000",
    "number": "1740702075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 STATE HIGHWAY 121 APT 721",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750564289",
            "telephone_number": "714-336-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E GRAUWYLER RD STE 109",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612635",
            "telephone_number": "214-596-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LANDON",
        "middle_name": "LONG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-07",
        "last_updated": "2023-01-29",
        "certification_date": "2023-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF DENTAL EXAMINERS",
            "identifier": "37969",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

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