Active NPI
Tram Anh Nguyen, DDS
- Dentist
- Livingston, TX
National Provider Identifier
1992376388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 37414
- Practice address
- 1772 W Church St
Livingston, TX 77351-9005 - Phone
- (936) 327-7550
- NPI assigned
- Jul 7, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 37414 | TX | Primary |
Addresses
Primary practice location
1772 W Church St
Livingston, TX 77351-9005
Mailing address
1025 W Church St Apt 510
Livingston, TX 77351-3065
Phone (617) 992-4820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37414 | Other | TX | LICENSE NUMBER |
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 |
|---|---|---|---|
| 37414 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625616000000",
"number": "1992376388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 W CHURCH ST APT 510",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773513065",
"telephone_number": "617-992-4820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1772 W CHURCH ST",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773519005",
"telephone_number": "936-327-7550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TRAM ANH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-07",
"last_updated": "2021-07-07",
"certification_date": "2021-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "37414",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "37414",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.