Active NPI
Diane Hao Nguyen, DDS
- Dentist
- Smyrna, GA
National Provider Identifier
1942211933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN012312
- Practice address
- 969 Windy Hill Road
Suite J
Smyrna, GA 30080 - Phone
- (770) 431-9578
- Fax
- (770) 438-2919
- NPI assigned
- Aug 11, 2006
- Last updated
- Jul 9, 2007
- 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 | DN012312 | GA | Primary |
Addresses
Primary practice location
969 Windy Hill Road
Suite J
Smyrna, GA 30080
Mailing address
969 Windy Hill Road
Suite J
Smyrna, GA 30080
Phone (770) 431-9578
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000909235A | Medicaid | GA | |
| 100489 | Other | GA | AVESIS GA MEDICAL DENTAL |
| 9180389 | Other | GA | DORAL |
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 |
|---|---|---|---|
| DN012312 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diane Hao Nguyen DDS, P.C. | Past | Accepting new patients | |
| Vicky Nguyen DDS PC | Dentist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Point of Service
- Smyrna, GA
- NPI 1083155543
-
- Dentist
- Smyrna, GA
- NPI 1265503940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1942211933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "969 WINDY HILL ROAD",
"address_2": "SUITE J",
"city": "SMYRNA",
"state": "GA",
"postal_code": "30080",
"telephone_number": "770-431-9578",
"fax_number": "770-438-2919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "969 WINDY HILL ROAD",
"address_2": "SUITE J",
"city": "SMYRNA",
"state": "GA",
"postal_code": "30080",
"telephone_number": "770-431-9578",
"fax_number": "770-438-2919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "DIANE",
"middle_name": "HAO",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN012312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000909235A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVESIS GA MEDICAL DENTAL",
"identifier": "100489",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL",
"identifier": "9180389",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.