Phuong Cam Nguyen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS-09204 Issued in IA

Practice address

2100 Indian Hills Dr
Sioux City, IA 51104-1604

Phone

(712) 239-5125

NPI assigned

Jun 16, 2015

Last updated

Jun 16, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family First Dental Associates of Iowa, P.C.

  dba Lilly Family Dentistry

  • General Practice Dentistry
  • Sioux City, IA
  • NPI 1578944435
  NPD (past)
• Lilly Family Dentistry, P.C.

  • General Practice Dentistry
  • Sioux City, IA
  • NPI 1770661951
  NPD (past)

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1891176723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 INDIAN HILLS DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041604",
            "telephone_number": "402-613-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 INDIAN HILLS DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041604",
            "telephone_number": "712-239-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHUONG",
        "middle_name": "CAM",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Horizons Recovery Center
• New Perspectives, Inc.
• Brenda L Newberg, PA-C
• Bich Ngoc Thi Nguyen
• Dat Nguyen, PHARMD
• Vinh Quang Nguyen, D.D.S.
• Nhao,LLC (Northern Hills Assisted Living)
• Mark W Nielsen, M.D.
• Kimberlee Niemeier, LBSW, CADC
• Erik Nieuwenhuis, PT

• General Practice Dentistry in Sioux City, IA
• Providers in Sioux City, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.