Individual provider Active NPI

Thuc Kien Nguyen, D.M.D.

  • Dentist
  • Dunwoody, GA
National Provider Identifier
1790762995
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN013054 Issued in GA
Practice address
4719 Ashford Dunwoody Rd
Suite 201
Dunwoody, GA 30338-5503
Phone
(770) 671-1311
Fax
(770) 671-1389
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN013054 GA Primary

Addresses

Primary practice location

4719 Ashford Dunwoody Rd
Suite 201
Dunwoody, GA 30338-5503

Mailing address

6260 Glen Oaks LN NE
Atlanta, GA 30328-4197
Phone (404) 256-5547

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
DN013054GAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790762995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 GLEN OAKS LN NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284197",
            "telephone_number": "404-256-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 ASHFORD DUNWOODY RD",
            "address_2": "SUITE 201",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385503",
            "telephone_number": "770-671-1311",
            "fax_number": "770-671-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THUC",
        "middle_name": "KIEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

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.

Verify at the official NPI Registry.