Individual provider Active NPI

Long Nguyen, DMD

  • General Practice Dentistry
  • Arlington, TX
National Provider Identifier
1780772194
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22435 Issued in TX
Practice address
4935 S. Collins St
Ste 201
Arlington, TX 76018
Phone
(817) 419-9009
Fax
(817) 419-3377
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22435 TX Primary

Addresses

Primary practice location

4935 S. Collins St
Ste 201
Arlington, TX 76018

Mailing address

4935 S. Collins St
Ste 201
Arlington, TX 76018
Phone (817) 419-9009

Other practice location 1

4935 S. Collins St
Ste 201
Arlington, TX 76018
Phone (817) 419-9009

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
22435TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ismile Dental II, PLLC CurrentSince Aug 6, 2019 Accepting new patients

Locations

4935 S Collins St
Ste 201
Arlington, TX 76018
Phone (817) 419-9009

Organizations & group practices 1

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1780772194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4935 S. COLLINS ST",
            "address_2": "STE 201",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76018",
            "telephone_number": "817-419-9009",
            "fax_number": "817-419-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4935 S. COLLINS ST",
            "address_2": "STE 201",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76018",
            "telephone_number": "817-419-9009",
            "fax_number": "817-419-3377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4935 S. Collins St",
            "address_2": "STE 201",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "76018",
            "country_code": "US",
            "telephone_number": "817-419-9009",
            "fax_number": "817-419-3377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LONG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.