Peter Son Nguyen, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

S6-139 Issued in NV

Practice address

866 Seven Hills Dr Ste 102
Henderson, NV 89052-4375

Phone

(702) 805-8185

Fax

(702) 805-8185

NPI assigned

Jul 9, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614988800000",
    "number": "1962885848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 SEVEN HILLS DR STE 102",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524375",
            "telephone_number": "702-805-8185",
            "fax_number": "702-805-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 SEVEN HILLS DR STE 102",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524375",
            "telephone_number": "702-805-8185",
            "fax_number": "702-805-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PETER",
        "middle_name": "SON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "64573",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S6-139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962885848",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mailoan T Nguyen, PHARMD
• Man Dinh Nguyen, D.M.D
• Mimosa Nguyen, NP
• Nam Van Nguyen, MD
• Paul V Nguyen, PHARMD
• Quang T Nguyen, DO
• Rayven Simone Lelani Nguyen
• Samantha Kim-Hue Nguyen, DO
• Steve Nguyen, OD
• Thao Nguyen, OTD/OTR/L

• Pediatric Dentistry in Henderson, NV
• Providers in Henderson, NV by specialty
• Pediatric Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; 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.