Individual provider Active NPI

Thi My Linh Nguyen, DDS

  • Dentist
  • Franklin, WI
National Provider Identifier
1912746751
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6001548-15 Issued in WI
Practice address
6855 S 27TH St
Franklin, WI 53132-8045
Phone
(414) 435-0787
NPI assigned
May 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 6001548-15 WI Primary

Addresses

Primary practice location

6855 S 27TH St
Franklin, WI 53132-8045

Mailing address

2366 N Humboldt Blvd
Milwaukee, WI 53212-3524
Phone (920) 840-5650

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

LicenseStateTypeSpecialty
6001548-15WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Associates LTD of Wisconsin CurrentSince May 26, 2024 Accepting new patients
Stat Anesthesia Specialists, LTD. PastSince May 26, 2024 Accepting new patients

Locations

6855 S 27th St
Franklin, WI 53132
Phone (414) 388-9092

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1912746751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2366 N HUMBOLDT BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123524",
            "telephone_number": "920-840-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6855 S 27TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328045",
            "telephone_number": "414-435-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THI MY LINH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6001548-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.