Active NPI
Simon Hoa Nguyen, D.D.S.
- General Practice Dentistry
- Fairfield, OH
National Provider Identifier
1750475786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30-021142
- Practice address
- 1251 Nilles Rd
Suite #6
Fairfield, OH 45014-7206 - Phone
- (513) 939-0848
- Fax
- (513) 939-0811
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30-021142 | OH | Primary |
Addresses
Primary practice location
1251 Nilles Rd
Suite #6
Fairfield, OH 45014-7206
Mailing address
1251 Nilles Rd
Suite #6
Fairfield, OH 45014-7206
Phone (513) 939-0848
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30-021142 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simon H. Nguyen Dental Group, Inc | General Practice | Past | Accepting new patients |
| Nguyen Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Fairfield, OH
- NPI 1972712883
-
- Internal Medicine Physician
- Fairfield, OH
- NPI 1083888374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750475786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 NILLES RD",
"address_2": "SUITE #6",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450147206",
"telephone_number": "513-939-0848",
"fax_number": "513-939-0811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 NILLES RD",
"address_2": "SUITE #6",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450147206",
"telephone_number": "513-939-0848",
"fax_number": "513-939-0811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "SIMON",
"middle_name": "HOA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30-021142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.