Individual provider Active NPI

Tuan Anh Nguyen, DDS

  • General Practice Dentistry
  • Hobbs, NM
National Provider Identifier
1770046864
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD5372 Issued in NM
Practice address
1710 W Joe Harvey Blvd Ste B
Hobbs, NM 88240-0821
Phone
(888) 988-4066
Fax
(847) 496-4850
NPI assigned
Apr 7, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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 34874 TX
General Practice Dentistry 1223G0001X DD5372 NM Primary

Addresses

Primary practice location

1710 W Joe Harvey Blvd Ste B
Hobbs, NM 88240-0821

Mailing address

6930 Woodridge Row Dr
Houston, TX 77087-2758
Phone (646) 946-8337

Other practice location 1

3500 Little York Rd Ste A1
Houston, TX 77093-3600
Phone (713) 766-3352

Other practice location 2

10936 North Fwy Ste A
Houston, TX 77037-1108
Phone (713) 955-7510

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
DD5372NMMDGeneral Practice Dentistry
34874TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Familia Dental Hob LLC General Practice CurrentSince Jun 27, 2021 Accepting new patients
Sea Smiles Dental & Braces PLLC General Practice Past Accepting new patients

Locations

1710 W Joe Harvey Blvd
Ste B
Hobbs, NM 88240
Phone (575) 238-0335

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.

NPI Registry JSON

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

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1770046864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 WOODRIDGE ROW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770872758",
            "telephone_number": "646-946-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W JOE HARVEY BLVD STE B",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882400821",
            "telephone_number": "888-988-4066",
            "fax_number": "847-496-4850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Little York Rd Ste A1",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770933600",
            "country_code": "US",
            "telephone_number": "713-766-3352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10936 North Fwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770371108",
            "country_code": "US",
            "telephone_number": "713-955-7510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TUAN",
        "middle_name": "ANH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-07",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34874",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD5372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobbs, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.