Trang Nguyen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14823 Issued in MN

Practice address

606 24TH Ave S Ste 200
Minneapolis, MN 55454-1437

Phone

(612) 659-8689

Fax

(612) 659-8690

NPI assigned

Aug 9, 2022

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 MN

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

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1861120891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 TOLEDO LN N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432382",
            "telephone_number": "415-933-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 24TH AVE S STE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541437",
            "telephone_number": "612-659-8689",
            "fax_number": "612-659-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRANG",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thanh Tam N Nguyen, M.D.
• Thao Nguyen Le Nguyen
• Theo Nguyen, MD
• Tony Huy Tien Nguyen, MD
• Tram Anh Hoai Nguyen, PHARM.D.
• VI Thanh Nguyen, MD
• Vinh Huu Nguyen, D.O.
• Vinh-Quang DO Nguyen, D.O.
• Vivian Nguyen, OD
• Wendy Nguyen, M.D.1

• General Practice Dentistry in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.