Individual provider Active NPI

Dennis Tridung Nguyen, MD

  • General Practice Physician
  • Seattle, WA
National Provider Identifier
1952185209
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MDCE.ML.61439927 Issued in WA
Practice address
3815 S Othello St
Seattle, WA 98118-3510
Phone
(206) 788-3500
NPI assigned
Aug 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MDCE.ML.61439927 WA Primary

Addresses

Primary practice location

3815 S Othello St
Seattle, WA 98118-3510

Mailing address

6307 121St St E
Puyallup, WA 98373-8831
Phone (541) 905-0856

Other practice location 1

16549 Aurora Ave N
Shoreline, WA 98133-5308
Phone (206) 533-2600

Other practice location 2

1050 140th Ave NE Ste A
Bellevue, WA 98005-2972
Phone (425) 373-3000

Other practice location 3

720 8th Ave S
Seattle, WA 98104-3032
Phone (206) 788-3700

Other practice location 4

4238 Auburn Way N
Auburn, WA 98002-1311
Phone (253) 444-0106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260501001185 WA Practitioner - Family Practice 0648748251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 3007
Seattle, WA 98114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MDCE.ML.61439927WAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
International Community Health Services Past Accepting new patients
International Community Health Services PastSince Aug 27, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1952185209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 121ST ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983738831",
            "telephone_number": "541-905-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 S OTHELLO ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183510",
            "telephone_number": "206-788-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16549 Aurora Ave N",
            "address_purpose": "LOCATION",
            "city": "Shoreline",
            "state": "WA",
            "postal_code": "981335308",
            "country_code": "US",
            "telephone_number": "206-533-2600",
            "fax_number": "206-788-3642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 140th Ave NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980052972",
            "country_code": "US",
            "telephone_number": "425-373-3000",
            "fax_number": "425-373-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 8th Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981043032",
            "country_code": "US",
            "telephone_number": "206-788-3700",
            "fax_number": "206-788-3706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4238 Auburn Way N",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980021311",
            "country_code": "US",
            "telephone_number": "253-444-0106",
            "fax_number": "206-788-3509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DENNIS",
        "middle_name": "TRIDUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-18",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MDCE.ML.61439927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.