Active NPI
Dinh Nguyen
- Dentist
- Dalton, GA
National Provider Identifier
1811662984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN122460
- Practice address
- 849 Shugart Rd
Dalton, GA 30720-2433 - Phone
- (706) 459-3333
- NPI assigned
- Aug 11, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN122460 | GA | Primary |
Addresses
Primary practice location
849 Shugart Rd
Dalton, GA 30720-2433
Mailing address
136 Stuart Rd
Fort Oglethorpe, GA 30742-3369
Phone (413) 433-8248
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN122460 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ansana LLC | Dentist | Past | Accepting new patients |
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.
-
- Dentist
- Dalton, GA
- NPI 1649666033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1811662984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 STUART RD",
"city": "FORT OGLETHORPE",
"state": "GA",
"postal_code": "307423369",
"telephone_number": "413-433-8248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "849 SHUGART RD",
"city": "DALTON",
"state": "GA",
"postal_code": "307202433",
"telephone_number": "706-459-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "DINH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-11",
"last_updated": "2021-08-11",
"certification_date": "2021-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN122460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.