Organization Active NPI

Dung X Nguyen MD Inc.

  • General Practice Physician
  • Tacoma, WA
National Provider Identifier
1992075576
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DUNG X NGUYEN MD INC.
Practice address
3736 S G St
Tacoma, WA 98418-6725
Phone
(253) 473-7081
Fax
(253) 474-4756
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Mr. Dung Xuan Nguyen, M.D.
Title
President
Phone
(253) 473-7081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

3736 S G St
Tacoma, WA 98418-6725

Mailing address

3736 S G St
Tacoma, WA 98418-6725
Phone (253) 473-7081

Other identifiers 1

IdentifierTypeStateIssuer
1020841MedicaidWA

National Provider Directory

National Provider Directory

Locations

3736 S G St
Tacoma, WA 98418
Phone (206) 473-7081

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1992075576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3736 S G ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984186725",
            "telephone_number": "253-473-7081",
            "fax_number": "253-474-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3736 S G ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984186725",
            "telephone_number": "253-473-7081",
            "fax_number": "253-474-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNG X NGUYEN MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DUNG",
        "authorized_official_middle_name": "XUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-473-7081",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020841",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.