Rebekah Nguyen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60767889 Issued in WA

Practice address

8541 15TH Ave NW Ste 100
Seattle, WA 98117-3625

Phone

(206) 590-1369

Fax

(206) 316-1405

NPI assigned

Aug 4, 2014

Last updated

Jun 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Locations

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.

• Rebekah Nguyen, PLLC

  dba Evergreen Smile Studio

  • Dental Clinic/Center
  • Seattle, WA
  • NPI 1780259556
  NPD Authorized official
• Boynton Dental,PC

  • General Practice Dentistry
  • Bronx, NY
  • NPI 1952573594
  NPD (past)

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1912316001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8541 15TH AVE NW STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173625",
            "telephone_number": "206-590-1369",
            "fax_number": "206-316-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8541 15TH AVE NW STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173625",
            "telephone_number": "206-590-1369",
            "fax_number": "206-316-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "REBEKAH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60767889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phuquy Nguyen
• Priscilla Courtney Nguyen, LMFTA
• Quynh Dao Nguyen, D.M.D.
• Quynh Tran Nguyen
• Quynh-Anh Thi Nguyen, PHARM.D.
• Richard P. Nguyen, MD
• Robert Nguyen, MD
• Rosa Nguyen
• Sarah Nguyen
• Sarah Ailan Nguyen

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.