Individual provider Active NPI

Dan Manh Nguyen, M.D.

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1952756983
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R6061 Issued in TX
Practice address
2600 N Stemmons Fwy Ste 141B
Dallas, TX 75207-2113
Phone
(469) 828-5959
Fax
(214) 905-7577
NPI assigned
Apr 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X R6061 TX
Family Medicine Physician 207Q00000X R6061 TX Primary

Addresses

Primary practice location

2600 N Stemmons Fwy Ste 141B
Dallas, TX 75207-2113

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200

Other practice location 1

8140 N Mopac Expy Ste 130
Austin, TX 78759-8837
Phone (512) 763-0330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220823001526 TX Practitioner - Family Practice 4789067869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
AIDS Arms, Inc.Group PAC ID 7719940774, 18 clinicians

Practice addresses (Care Compare)

2801 Lemmon Ave
Suite 200
Dallas, TX 75204-2201
Phone (469) 687-3200

4004 Worth St
100 Worth Street Health Center
Dallas, TX 75246-1638
Phone (214) 623-6830

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Arms, Inc. Family Medicine CurrentSince Jan 27, 2025 Accepting new patients
AIDS Arms, Inc. CurrentSince Jan 27, 2025 Accepting new patients
AIDS Healthcare Foundation Texas Inc CurrentSince May 3, 2022 Accepting new patients

Locations

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015

2801 Lemmon Ave
Ste 400
Dallas, TX 75204
Phone (214) 303-1033

4004 Worth St
Ste 100
Dallas, TX 75246
Phone (214) 623-6830

3900 Junius St
Ste 300
Dallas, TX 75246
Phone (214) 521-5191

4004 Worth St
Ste 200
Dallas, TX 75246
Phone (214) 521-5191

1200 Binz St
Ste 1290
Houston, TX 77004
Phone (713) 524-8700

7400 Fannin St
Ste 1118
Houston, TX 77054
Phone (713) 797-9200

Interoperability endpoints

  • Direct secure messaging: dan.nguyen.1@29669.direct.athenahealth.com

Organizations & group practices 3

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": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1952756983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "323-467-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N STEMMONS FWY STE 141B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752072113",
            "telephone_number": "469-828-5959",
            "fax_number": "214-905-7577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8140 N Mopac Expy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787598837",
            "country_code": "US",
            "telephone_number": "512-763-0330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DAN",
        "middle_name": "MANH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-27",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "TX",
            "license": "R6061",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R6061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.