Individual provider Active NPI

Quynh DH Nguyen, DDS

  • General Practice Dentistry
  • Kent, WA
National Provider Identifier
1952550360
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60035248 Issued in WA
Practice address
24722 104TH Ave SE
Kent, WA 98030-5322
Phone
(253) 854-2182
Fax
(253) 854-2435
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE60035248 WA Primary

Addresses

Primary practice location

24722 104TH Ave SE
Kent, WA 98030-5322

Mailing address

827 128TH St SW
Ste a
Everett, WA 98204-5321
Phone (425) 290-9277

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150710000872 WA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3870805468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60035248WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Huang & Hsu, P.L.L.C. General Practice Past Accepting new patients

Organizations & group practices 1

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": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1952550360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 128TH ST SW",
            "address_2": "STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982045321",
            "telephone_number": "425-290-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24722 104TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980305322",
            "telephone_number": "253-854-2182",
            "fax_number": "253-854-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "QUYNH",
        "middle_name": "DH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60035248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.