Ngoc Bao Nguyen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401417007 Issued in VA

Practice address

3608 Forest Dr
Alexandria, VA 22302-1092

Phone

(703) 671-8431

NPI assigned

Aug 12, 2020

Last updated

Aug 12, 2020By the provider in NPPES

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

Other names 1

• Dr. Ngoc Bao Nguyen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ngoc Nguyen DMD PLLC

  dba Your Family Dentist

  • Dental Clinic/Center
  • Falls Church, VA
  • NPI 1366111080
  NPD Authorized official

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1871104968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 EXMORE ST",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221504027",
            "telephone_number": "703-973-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 FOREST DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021092",
            "telephone_number": "703-671-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NGOC",
        "middle_name": "BAO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NGOC",
            "last_name": "NGUYEN",
            "middle_name": "BAO",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kim-Dung T Nguyen, M.D.
• Liem Nguyen, RPH
• Monique H Nguyen, D.D.S.
• Nga Nguyen, LCSW
• Nghi Nguyen, PHARM.D
• Ngoc Tran Vu Nguyen
• Phuong Xuan Nguyen, DNP, FNP-BC
• Quynh-Trang Nguyen, D.D.S.
• Steve Nguyen, D.D.S.
• Tai The Nguyen, PHARMD

• General Practice Dentistry in Alexandria, VA
• Providers in Alexandria, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.