Rachel Nguyen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS039896 Issued in PA

Practice address

2336 Abbey LN
Harrisburg, PA 17112-6047

Phone

(717) 503-8052

NPI assigned

Apr 16, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

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.

• South Side Dental Care LLC

  • Dental Clinic/Center
  • Harrisburg, PA
  • NPI 1134831324
  NPD Authorized official

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1851711907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 ABBEY LN",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171126047",
            "telephone_number": "717-503-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 ABBEY LN",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171126047",
            "telephone_number": "717-503-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "RACHEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bao Nhi Nguyen, DO
• Hiep B Nguyen, RPH
• Joanne Nguyen, CRNA
• Kimberly Nguyen, DPM
• Minh Huynh Nguyen, DO
• Theresa Nguyen, PHARMD
• Theresa Nguyen
• Tran Nguyen
• Ngwolo Holdings LLC
• Sorita Nhim, COTA

• Dentist in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.