Organization Active NPI

Wyn D Nguyen MD PA

  • Colon & Rectal Surgery Physician
  • Richardson, TX
National Provider Identifier
1871786202
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
L4605 Issued in TX
Legal business name
WYN D NGUYEN MD PA
Practice address
3013 E Renner Rd
Suite 120
Richardson, TX 75082-3576
Phone
(972) 918-9500
Fax
(972) 918-9501
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Authorized official

Name
Dr. Wyn Dinh Nguyen, M.D.
Title
Owner/President
Phone
(972) 918-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X L4605 TX Primary

Addresses

Primary practice location

3013 E Renner Rd
Suite 120
Richardson, TX 75082-3576

Mailing address

3013 E Renner Rd
Suite 120
Richardson, TX 75082-3576
Phone (972) 918-9500

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1328/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1871786202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 E RENNER RD",
            "address_2": "SUITE 120",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823576",
            "telephone_number": "972-918-9500",
            "fax_number": "972-918-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 E RENNER RD",
            "address_2": "SUITE 120",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823576",
            "telephone_number": "972-918-9500",
            "fax_number": "972-918-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYN D NGUYEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "WYN",
        "authorized_official_middle_name": "DINH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "972-918-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "L4605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.