Organization Active NPI

David T. Nguyen DDS,PC

  • General Practice Dentistry
  • Wheaton, IL
National Provider Identifier
1942370275
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019024228 Issued in IL
Legal business name
DAVID T. NGUYEN DDS,PC
Practice address
620 W Roosevelt Rd Ste A1
Wheaton, IL 60187-2305
Phone
(630) 462-9047
Fax
(630) 868-8458
NPI assigned
Nov 8, 2006
Last updated
Aug 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Dr. David Toan Nguyen, D.D.S.NPI 1083888762
Title
President
Phone
(630) 462-9047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019024228 IL Primary

Addresses

Primary practice location

620 W Roosevelt Rd Ste A1
Wheaton, IL 60187-2305

Mailing address

620 W Roosevelt Rd Ste A1
Wheaton, IL 60187-2305
Phone (630) 462-9047

National Provider Directory

National Provider Directory

Locations

620 W Roosevelt Rd
Ste A1
Wheaton, IL 60187
Phone (630) 462-9047

100 W Roosevelt Rd
Ste 105
Wheaton, IL 60187

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1942370275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W ROOSEVELT RD STE A1",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872305",
            "telephone_number": "630-462-9047",
            "fax_number": "630-868-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W ROOSEVELT RD STE A1",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872305",
            "telephone_number": "630-462-9047",
            "fax_number": "630-868-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID T. NGUYEN DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "TOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-462-9047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.