Active NPI
Angela Mylien Nguyen, D.D.S.
- Dentist
- Metairie, LA
National Provider Identifier
1750794632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6454
- Practice address
- 3301 Veterans Blvd
Suite 203
Metairie, LA 70002 - Phone
- (504) 833-6825
- NPI assigned
- Jun 9, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6454 | LA | Primary |
Addresses
Primary practice location
3301 Veterans Blvd
Suite 203
Metairie, LA 70002
Mailing address
4923 Gilbert St
New Orleans, LA 70129-1634
Phone (713) 972-5143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160128001204 | LA | Order and Referring Only - Dentist | 6406159268 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6454 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423180800000",
"number": "1750794632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4923 GILBERT ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701291634",
"telephone_number": "713-972-5143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 VETERANS BLVD",
"address_2": "SUITE 203",
"city": "METAIRIE",
"state": "LA",
"postal_code": "70002",
"telephone_number": "504-833-6825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "ANGELA",
"middle_name": "MYLIEN",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-09",
"last_updated": "2015-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "6454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.