Individual provider Active NPI

Ruth Ann Griggs Nguyen, DDS

  • Dentist
  • Chicago, IL
National Provider Identifier
1750447884
Registry record updated Sep 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.029782 Issued in IL
Practice address
850 N Lake Shore Dr
Unit 716
Chicago, IL 60611-6324
Phone
(318) 737-9724
NPI assigned
Jan 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2014

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 4484 LA
Dentist 122300000X 019.029782 IL Primary

Addresses

Primary practice location

850 N Lake Shore Dr
Unit 716
Chicago, IL 60611-6324

Mailing address

850 N Lake Shore Dr
Unit 716
Chicago, IL 60611-6324
Phone (318) 737-9724

Other identifiers 1

IdentifierTypeStateIssuer
019.029782OtherILSTATE OF ILLINOIS-DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

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

State licenses

LicenseStateTypeSpecialty
019.029782ILMDDentist
4484LAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411776000000",
    "number": "1750447884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N LAKE SHORE DR",
            "address_2": "UNIT 716",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606116324",
            "telephone_number": "318-737-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N LAKE SHORE DR",
            "address_2": "UNIT 716",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606116324",
            "telephone_number": "318-737-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGGS NGUYEN",
        "first_name": "RUTH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2014-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4484",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.029782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS-DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION",
            "identifier": "019.029782",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.