Active NPI
Thuan Nguyen, D.D.S.
- Pediatric Dentistry
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 021002601
- Practice address
- 5342 S Archer Ave
Chicago, IL 60632 - Phone
- (773) 284-8540
- NPI assigned
- Oct 27, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DEN.00203390 | CO | |
| Endodontics | 1223E0200X | 021002625 | IL | |
| Pediatric Dentistry | 1223P0221X | DEN.00303390 | CO | |
| Pediatric Dentistry | 1223P0221X | 12012141A | IN | |
| Pediatric Dentistry | 1223P0221X | 021002601 | IL | Primary |
Addresses
Primary practice location
5342 S Archer Ave
Chicago, IL 60632
Mailing address
2606 W 99TH St
Evergreen Park, IL 60805-3641
Phone (347) 703-2299
Other practice location 1
7863 Broadway Ste 111
Merrillville, IN 46410-5530
Phone (219) 769-6636
Other practice location 2
7891 Broadway Ste C
Merrillville, IN 46410-5556
Phone (219) 736-2273
Other practice location 3
140 Market St
3rd Floor
Paterson, NJ 07505-1471
Phone (973) 742-4200
Other practice location 4
2250 S Parker Rd Ste 150
Denver, CO 80231-3481
Phone (303) 595-5454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851627731 | Other | IL | THUAN NGUYEN |
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 |
|---|---|---|---|
| DEN.00203390 | CO | MD | Endodontist |
| 021002625 | IL | MD | Endodontist |
| DEN.00303390 | CO | MD | Pediatric Dentist |
| 021002601 | IL | MD | Pediatric Dentist |
| 12012141A | IN | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Dental Center of Northwest Indiana Inc | Pediatric Dentistry | Past | Accepting new patients |
| Archer Dental Specialist Inc | Past | Accepting new patients | |
| All Family Dental & Braces, LLC. | Pediatric Dentistry | Past | Accepting new patients |
| Aurora Village Modern Dentistry, LLP | Past | Accepting new patients | |
| Premier Dental Group PC | Past | Accepting new patients |
Organizations & group practices 5
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
- Chicago, IL
- NPI 1861686719
-
- General Practice Dentistry
- Merrillville, IN
- NPI 1083122097
Pediatric Dentistry
-
- Dentist
- Aurora, CO
- NPI 1568950673
-
- Pediatric Dentistry
- Merrillville, IN
- NPI 1497869341
-
- Dentist
- Merrillville, IN
- NPI 1497862825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532044800000",
"number": "1851627731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2606 W 99TH ST",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608053641",
"telephone_number": "347-703-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5342 S ARCHER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60632",
"telephone_number": "773-284-8540"
}
],
"practiceLocations": [
{
"address_1": "7863 Broadway Ste 111",
"address_purpose": "LOCATION",
"city": "Merrillville",
"state": "IN",
"postal_code": "464105530",
"country_code": "US",
"telephone_number": "219-769-6636",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7891 Broadway Ste C",
"address_purpose": "LOCATION",
"city": "Merrillville",
"state": "IN",
"postal_code": "464105556",
"country_code": "US",
"telephone_number": "219-736-2273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "140 Market St",
"address_2": "3rd Floor",
"address_purpose": "LOCATION",
"city": "Paterson",
"state": "NJ",
"postal_code": "075051471",
"country_code": "US",
"telephone_number": "973-742-4200",
"fax_number": "973-742-4997",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2250 S Parker Rd Ste 150",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802313481",
"country_code": "US",
"telephone_number": "303-595-5454",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "THUAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-27",
"last_updated": "2018-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CO",
"license": "DEN.00203390",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "IL",
"license": "021002625",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CO",
"license": "DEN.00303390",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "IN",
"license": "12012141A",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "IL",
"license": "021002601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THUAN NGUYEN",
"identifier": "1851627731",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.