Thao Thanh Nguyen, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN24262 Issued in FL

Practice address

2620 48TH Ave W
Bradenton, FL 34207-1700

Phone

(941) 753-1432

Fax

(941) 757-3532

NPI assigned

Jun 18, 2019

Sex

Female

Sole proprietor

No

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

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1942860226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 48TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071700",
            "telephone_number": "941-753-1432",
            "fax_number": "941-757-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 48TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071700",
            "telephone_number": "941-753-1432",
            "fax_number": "941-757-3532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5315 4th Avenue Cir E",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342085623",
            "country_code": "US",
            "telephone_number": "941-753-1432",
            "fax_number": "941-757-3532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THAO",
        "middle_name": "THANH",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Hung Nguyen, M.D.
• Jimmy Duy Nguyen, DNP
• Kim Nguyen
• Michelle Phuong Nguyen, MD
• Nam Quoc Nguyen, PHARMD
• Trang Mai Thi Nguyen, PHARMD
• Tri D Nguyen, M.D.
• Vincent Nguyen
• Yen Nguyen
• Nic 4 Bradenton Oaks Leasing LLC

• General Practice Dentistry in Bradenton, FL
• Providers in Bradenton, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.