Richard Nguyen, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DDS-10421 Issued in IA

Practice address

2401 128TH St
Urbandale, IA 50323-1816

Phone

(515) 827-0913

NPI assigned

Mar 9, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Undersea Oral Surgery, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • North Charleston, SC
  • NPI 1518760636
  NPD (past)

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1740980440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5031 TIMBERWOOD CT",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502655456",
            "telephone_number": "402-301-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 128TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503231816",
            "telephone_number": "515-827-0913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4949 Westown Pkwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502666716",
            "country_code": "US",
            "telephone_number": "515-800-4073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "RICHARD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-09",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "DDS-10421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy James Newport, LMT
• Brooks Cristopher Newton, D.C.
• Meghan Newton
• Jo Ann Nguyen, OTD, OTR/L
• Kim An Thien Nguyen, PHARMD
• Susan Nguyen, DDS
• Alyssa Nichols, MSOT, OTR/L
• Christina M Nicholson, PMHNP-BC
• Amy Jean Niess, PHARMD
• Carter Northey

• Pediatric Dentistry in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Pediatric Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.