Active NPI
Linda T Nguyen
- Dentist
- Lehigh Acres, FL
National Provider Identifier
1871050500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN24688
- Practice address
- 3415 Lee Blvd
Lehigh Acres, FL 33971-1576 - Phone
- (239) 278-3600
- NPI assigned
- Feb 28, 2019
- Last updated
- Sep 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN24688 | FL | Primary |
Addresses
Primary practice location
3415 Lee Blvd
Lehigh Acres, FL 33971-1576
Mailing address
PO Box 919771
Orlando, FL 32891-9971
Phone (239) 278-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106463200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200618002756 | FL | Order and Referring Only - Dentist | 7517389646 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linda T Nguyen DDS PA | Current | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Lake Worth, FL
- NPI 1861379547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1871050500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 919771",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328919971",
"telephone_number": "239-278-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 LEE BLVD",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339711576",
"telephone_number": "239-278-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "LINDA",
"middle_name": "T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-28",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN24688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106463200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lehigh Acres, FL
- Neodoc Inc (Dr Eric M Crittenden)
- New Phases GC Companion Services LLC
- New Support Coordination Services, LLC
- Keshaundriel Lennise Newbold
- Benney Huy Nguyen
- Michael Nguyen, PHARMD
- Gabrielle Elizabeth Nicolais, CCC-SLP
- Roberto Jesus Nieto Silva
- Norma Marisol Nieto
- Nightingale Wellness Care Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.