Jackson Chien Nguyen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

10155 Issued in CO

Practice address

12810 W. Alameda Pkwy
Unit a
Lakewood, CO 80228-3116

Phone

(303) 727-9100

Fax

(303) 727-8636

NPI assigned

Aug 20, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jack Nguyen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Green Mountain Dental Prof. LLC

  • Dentist
  • Lakewood, CO
  • NPI 1891003570
  NPD (past)

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1841506359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12810 W. ALAMEDA PKWY",
            "address_2": "UNIT A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802283116",
            "telephone_number": "303-727-9100",
            "fax_number": "303-727-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 W. ALAMEDA PKWY",
            "address_2": "UNIT A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802283116",
            "telephone_number": "303-727-9100",
            "fax_number": "303-727-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JACKSON",
        "middle_name": "CHIEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "NGUYEN",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Perry Pak-Nin NG, MD
• Vu Ngo, D.C. MSACN, CPT
• Dung Anh Nguyen, PHARMACY MANAGER
• Hang Thuy Nguyen, D.C.
• Hien Nguyen, PA-C
• Marie Vu Nguyen, M.D.
• Mary Cecilia Nguyen, DO
• Trang Ngoc Nguyen, M.D.
• Lawrence Michael Nicastro
• Tiffany Nichols Chisenhall, MSW, SWC

• Dentist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.