Thuy Tien Nguyen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D009793 Issued in AZ

Practice address

2755 S 99TH Ave Ste 105
Tolleson, AZ 85353-1404

Phone

(623) 478-1624

NPI assigned

Jul 3, 2017

Last updated

Jul 3, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in AZ

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Promenade Dental Group, LLP

  dba Promenade Dental Group

  • General Practice Dentistry
  • Tolleson, AZ
  • NPI 1285798462
  NPD (past)

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499040000000",
    "number": "1871014555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 S 99TH AVE STE 105",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853531404",
            "telephone_number": "623-478-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 S 99TH AVE STE 105",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853531404",
            "telephone_number": "623-478-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THUY",
        "middle_name": "TIEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-03",
        "last_updated": "2017-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Hope of Arizona, Inc.
• New Hope of Arizona, Inc.
• NGC Integrated Healthcare
• Huong Nguyen
• Long Huu Nguyen, PHARMD
• Nizhoni Behavioral Homes LLC
• Minnette Nkongho
• Nova Behavioral Health LLC
• Naomi Nova
• Nutriwellness4Life, LLC

• Dentist in Tolleson, AZ
• Providers in Tolleson, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2017; 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.