Individual provider Active NPI

Thuy-Mai Nguyen, D.D.S.

  • General Practice Dentistry
  • Milpitas, CA
National Provider Identifier
1871633594
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36809 Issued in CA
Practice address
1418 Dempsey Rd
Milpitas, CA 95035-6977
Phone
(408) 263-6646
Fax
(408) 263-6645
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 36809 CA Primary

Addresses

Primary practice location

1418 Dempsey Rd
Milpitas, CA 95035-6977

Mailing address

761 Chantecler Dr
Fremont, CA 94539-4915
Phone (510) 249-9308

Other identifiers 3

IdentifierTypeStateIssuer
B36809-01MedicaidCA
G98165-01OtherCADELTAHLTHYFAMILYPRVDR ID
36809OtherCADENTAL BOARD LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160425001822 CA Order and Referring Only - Other (Non-Physician) 9638478795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36809CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thuy-Mai Nguyen, a Professional Dental Corporation Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1871633594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 CHANTECLER DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945394915",
            "telephone_number": "510-249-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 DEMPSEY RD",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356977",
            "telephone_number": "408-263-6646",
            "fax_number": "408-263-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THUY-MAI",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B36809-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTAHLTHYFAMILYPRVDR ID",
            "identifier": "G98165-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD LICENSE",
            "identifier": "36809",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

Verify at the official NPI Registry.