Active NPI
Thao Ngoc Nguyen, D.D.S
- Dentist
- Lawton, OK
National Provider Identifier
1912909243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5636
- Practice address
- 2201 SW 54TH St
Lawton, OK 73505-5717 - Phone
- (405) 437-7880
- NPI assigned
- May 31, 2005
- Sex
- Female
- 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 | 5636 | OK | Primary |
Addresses
Primary practice location
2201 SW 54TH St
Lawton, OK 73505-5717
Mailing address
2201 SW 54TH St
Lawton, OK 73505-5717
Phone (405) 437-7880
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 |
|---|---|---|---|
| 5636 | OK | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456272000000",
"number": "1912909243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 SW 54TH ST",
"city": "LAWTON",
"state": "OK",
"postal_code": "735055717",
"telephone_number": "405-437-7880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 SW 54TH ST",
"city": "LAWTON",
"state": "OK",
"postal_code": "735055717",
"telephone_number": "405-437-7880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THAO",
"middle_name": "NGOC",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-31",
"last_updated": "2016-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "5636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.