Thang Duc Nguyen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46659 Issued in CA

Practice address

500 Alfred Nobel Dr Ste 285
Hercules, CA 94547-1844

Phone

(510) 741-7041

NPI assigned

Jan 17, 2007

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• T. Nguyen, DDS, Corporation

  • Preferred Provider Organization
  • Hercules, CA
  • NPI 1003005349
  NPD (past) Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1902958044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1695",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956912996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALFRED NOBEL DR STE 285",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471844",
            "telephone_number": "510-741-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THANG",
        "middle_name": "DUC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Namrata K. Bhullar DDS Inc.
• Erika Nelson, MS PPS
• Leonard Alexander Newman, MD
• Ronald Stephen Newman, D.C.
• Darren Jonathan NG, O.D.
• Nico Care Medical Transport, LLC
• Johnathan Nilsen, RPH
• Kristine Kwan Nishi
• North Shore Dental LLC
• Jessalyn Ann Nothnagel

• General Practice Dentistry in Hercules, CA
• Providers in Hercules, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.