Loan Nguyen, DDS PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE60216703 Issued in WA

Legal business name

LOAN NGUYEN, DDS PLLC

Practice address

5101 25TH Ave NE
Suite 6
Seattle, WA 98105-3225

Phone

(206) 466-5810

Fax

(206) 466-5429

NPI assigned

May 30, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Loan T Nguyen, DDS

Title

Owner

Phone

(360) 791-7019

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1401408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401408000000",
    "number": "1821400433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 25TH AVE NE",
            "address_2": "SUITE 6",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053225",
            "telephone_number": "206-466-5810",
            "fax_number": "206-466-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 25TH AVE NE",
            "address_2": "SUITE 6",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053225",
            "telephone_number": "206-466-5810",
            "fax_number": "206-466-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOAN NGUYEN, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-30",
        "last_updated": "2014-05-30",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LOAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-791-7019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60216703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021684",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip S Lo, O.D.
• Simon S Lo, M.D.
• Tiffany Lo
• Wanee Lo
• Winston Lo
• Esther Marie Lobato, LSWAIC
• William Lober, MD
• Eric Ryan Loberg, D.C.
• Matthew Loberg
• Andria Daphne Lobo, LSWAIC

• Pediatric Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2014; 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.