Long Van Nguyen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24783 Issued in TX

Practice address

1815 S 1St St Ste H
Garland, TX 75040-8441

Phone

(972) 271-4500

Fax

(972) 271-4511

NPI assigned

Jun 30, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Excel Dental Clinic of Garland PA

  • Dentist
  • Garland, TX
  • NPI 1336254325
  NPD

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1821226705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 S 1ST ST STE H",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750408441",
            "telephone_number": "972-271-4500",
            "fax_number": "972-271-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 S 1ST ST STE H",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750408441",
            "telephone_number": "972-271-4500",
            "fax_number": "972-271-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LONG",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24783",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202764102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelvin Nguyen, PHARMD
• Khanh Thy Nguyen, RN
• Kimberly Nguyen, O.D.
• Le Thanh Nguyen, MD
• Loan Nguyen, D.M.D.
• Phiyen Nguyen, RPH
• Phong Lan Nguyen, D.D.S
• Quoc Nguyen, APRN
• Quynh Nguyen
• Rachel Ngoc Nguyen, DDS

• General Practice Dentistry in Garland, TX
• Providers in Garland, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.