Man Nguyen Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4886 Issued in NV

Legal business name

MAN NGUYEN PROFESSIONAL CORPORATION

Practice address

6115 S. Rainbow Boulevard
Suite 102
Las Vegas, NV 89118

Phone

(702) 227-7964

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Man Dinh Nguyen, D.M.D.

Title

Dentist

Phone

(702) 227-7964

Specialties & licenses 1

Addresses

Other names 1

• Preferred Dental Doing business as

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902941032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 S. RAINBOW BOULEVARD",
            "address_2": "SUITE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89118",
            "telephone_number": "702-227-7964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 S. RAINBOW BOULEVARD",
            "address_2": "SUITE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89118",
            "telephone_number": "702-227-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAN NGUYEN PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MAN",
        "authorized_official_middle_name": "DINH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "702-227-7964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dheeresh Kumar Mamidi, MD
• Pradeepta Mamidi
• Hratch Mamigonian
• Melanie Mamucud
• Man Chau D.M.D. PC
• Alister Yi-Heng Man, D.M.D.
• Denni-Lee P Man
• Gisella-Marie A Man
• Lee Deng Man, MD
• Mana Medical Shlifer

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.