Active NPI
Judy D Nghiem, D.M.D
- Dentist
- Dorchester, MA
National Provider Identifier
1821250135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17376
- Practice address
- 1510 Dorchester Ave
Dorchester, MA 02122-1327 - Phone
- (617) 288-7600
- NPI assigned
- Jun 27, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 17376 | MA | Primary |
Addresses
Primary practice location
1510 Dorchester Ave
Dorchester, MA 02122-1327
Mailing address
1510 Dorchester Ave
Dorchester, MA 02122-1327
Phone (617) 288-7600
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 |
|---|---|---|---|
| 17376 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Han M Le DMD PC | Past | Accepting new patients | |
| Frank T M Nghiem D.M.D.,P.C | Dentist | Past | 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.
-
- Dentist
- Dorchester, MA
- NPI 1952563348
-
- General Practice Dentistry
- Dorchester, MA
- NPI 1053976720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214524800000",
"number": "1821250135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 DORCHESTER AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021221327",
"telephone_number": "617-288-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 DORCHESTER AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021221327",
"telephone_number": "617-288-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGHIEM",
"first_name": "JUDY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-27",
"last_updated": "2008-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "17376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.