Active NPI
Nguyen Tri Nguyen, DDS, PA
- General Practice Dentistry
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8687
- Legal business name
- NGUYEN TRI NGUYEN, DDS, PA
- Practice address
- 6404 Albemarle Road
#C
Charlotte, NC 28212 - Phone
- (704) 910-4720
- Fax
- (704) 910-4102
- NPI assigned
- Aug 5, 2013
- Last updated
- Aug 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nguyen T Nguyen, DDS
- Title
- Owner/Dentist
- Phone
- (704) 910-4720
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8687 | NC | Primary |
Addresses
Primary practice location
6404 Albemarle Road
#C
Charlotte, NC 28212
Mailing address
6404 Albemarle Road
#C
Charlotte, NC 28212
Phone (704) 910-4720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5910224 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Albemarle Road Family Dentistry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Charlotte, NC
- NPI 1841601614
Locations
6404 Albemarle Rd
Ste C
Charlotte, NC 28212
Phone (704) 910-4720
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Charlotte, NC
- NPI 1194974667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375660800000",
"number": "1760814412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6404 ALBEMARLE ROAD",
"address_2": "#C",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28212",
"telephone_number": "704-910-4720",
"fax_number": "704-910-4102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6404 ALBEMARLE ROAD",
"address_2": "#C",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28212",
"telephone_number": "704-910-4720",
"fax_number": "704-910-4102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NGUYEN TRI NGUYEN, DDS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-05",
"last_updated": "2013-08-05",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "NGUYEN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "704-910-4720",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "8687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5910224",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.