Active NPI
Trung Quoc Nguyen, DDS
- Dentist
- Bristol, CT
National Provider Identifier
1902476294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13181
- Practice address
- 169 Middle St
Bristol, CT 06010-7404 - Phone
- (408) 786-7291
- NPI assigned
- Jun 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13181 | CT | Primary |
Addresses
Primary practice location
169 Middle St
Bristol, CT 06010-7404
Mailing address
19 Depeyster St Apt 2C
Sleepy Hollow, NY 10591-8808
Phone (408) 786-7291
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 |
|---|---|---|---|
| 13181 | CT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1902476294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 DEPEYSTER ST APT 2C",
"city": "SLEEPY HOLLOW",
"state": "NY",
"postal_code": "105918808",
"telephone_number": "408-786-7291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 MIDDLE ST",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060107404",
"telephone_number": "408-786-7291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TRUNG",
"middle_name": "QUOC",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-29",
"last_updated": "2021-06-29",
"certification_date": "2021-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "13181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bristol, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.