Individual provider Active NPI

James Nguyen, D.M.D.

  • General Practice Dentistry
  • Wethersfield, CT
National Provider Identifier
1801913660
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9130 Issued in CT
Practice address
1402 Berlin Tpke
Wethersfield, CT 06109-1010
Phone
(860) 956-1396
Fax
(860) 956-1396
NPI assigned
Mar 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9130 CT
General Practice Dentistry 1223G0001X 9130 CT Primary

Addresses

Primary practice location

1402 Berlin Tpke
Wethersfield, CT 06109-1010

Mailing address

1402 Berlin Tpke
Wethersfield, CT 06109-1010
Phone (860) 956-1396

Other identifiers 1

IdentifierTypeStateIssuer
002091304MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181030001493 CT Order and Referring Only - DentistPractitioner - Dentist 6608129143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9130CTMDClinical Social Worker
009130CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. James Hai T. Nguyen, LLC General Practice Past Accepting new patients
Dr. Nguyen Associates LLC PastSince Sep 12, 2003 Accepting new patients

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": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1801913660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 BERLIN TPKE",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091010",
            "telephone_number": "860-956-1396",
            "fax_number": "860-956-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 BERLIN TPKE",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091010",
            "telephone_number": "860-956-1396",
            "fax_number": "860-956-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-24",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "9130",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "9130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002091304",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

Verify at the official NPI Registry.