Active NPI
Mary Nguyen, PEDIATRIC DENTIST
- Pediatric Dentistry
- Midland, TX
National Provider Identifier
1881824217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 32201
- Practice address
- 3401 Greenbriar
Midland, TX 79707-4652 - Phone
- (432) 682-1614
- NPI assigned
- Jul 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS040043 | PA | |
| Dentist | 122300000X | 2901020082 | MI | |
| Pediatric Dentistry | 1223P0221X | DS040043 | PA | |
| Pediatric Dentistry | 1223P0221X | 32201 | TX | Primary |
Addresses
Primary practice location
3401 Greenbriar
Midland, TX 79707-4652
Mailing address
100 Ramble LN Apt 2336
Austin, TX 78745-0019
Phone (517) 862-7670
Other practice location 1
2700 S 1st St
Austin, TX 78704-5421
Phone (512) 206-2975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901020082 | MI | MD | Dentist |
| DS040043 | PA | MD | Pediatric Dentist |
| 32201 | TX | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1881824217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 RAMBLE LN APT 2336",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787450019",
"telephone_number": "517-862-7670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 GREENBRIAR",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797074652",
"telephone_number": "432-682-1614"
}
],
"practiceLocations": [
{
"address_1": "2700 S 1st St",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787045421",
"country_code": "US",
"telephone_number": "512-206-2975",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "MARY",
"name_prefix": "Dr.",
"credential": "PEDIATRIC DENTIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS040043",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901020082",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS040043",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "32201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.