Active NPI
Minh Nguyen, DMD
- Dentist
- Medford, MA
National Provider Identifier
1962853671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1857304
- Practice address
- 75 Station LNDG
Unit 710
Medford, MA 02155-5127 - Phone
- (408) 744-2547
- NPI assigned
- Jun 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1857304 | MA | Primary |
Addresses
Primary practice location
75 Station LNDG
Unit 710
Medford, MA 02155-5127
Mailing address
75 Station LNDG
Unit 710
Medford, MA 02155-5127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1857304 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1962853671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 STATION LNDG",
"address_2": "UNIT 710",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021555127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 STATION LNDG",
"address_2": "UNIT 710",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021555127",
"telephone_number": "408-744-2547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MINH",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-23",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1857304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.