Individual provider Active NPI

Dan Thanh Linh Nguyen, DMD

  • Pediatric Dentistry
  • East Longmeadow, MA
National Provider Identifier
1992452759
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN10000037 Issued in MA
Practice address
52 N Main St
East Longmeadow, MA 01028-2321
Phone
(413) 525-6626
NPI assigned
Mar 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 13415 CT
Pediatric Dentistry 1223P0221X DN10000037 MA Primary

Addresses

Primary practice location

52 N Main St
East Longmeadow, MA 01028-2321

Mailing address

52 Wilkin Dr
Longmeadow, MA 01106-2034
Phone (781) 654-5498

Other practice location 1

52 Wilkin Dr
Longmeadow, MA 01106-2034
Phone (781) 654-5498

Other practice location 2

448 N Main St
East Longmeadow, MA 01028-1861
Phone (413) 303-6132

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN10000037MAMDPediatric Dentist
13415CTMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Laurie M. Brown, Pediatric Dentistry, PC CurrentSince Jun 16, 2024 Accepting new patients
Vincent a Trimboli Jr DDS PC Pediatric Dentistry PastSince Jun 16, 2024 Accepting new patients

Locations

52 N Main St
East Longmeadow, MA 01028
Phone (413) 525-6626

Organizations & group practices 2

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": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1992452759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 WILKIN DR",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011062034",
            "telephone_number": "781-654-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 N MAIN ST",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282321",
            "telephone_number": "413-525-6626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Wilkin Dr",
            "address_purpose": "LOCATION",
            "city": "Longmeadow",
            "state": "MA",
            "postal_code": "011062034",
            "country_code": "US",
            "telephone_number": "781-654-5498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "448 N Main St",
            "address_purpose": "LOCATION",
            "city": "East Longmeadow",
            "state": "MA",
            "postal_code": "010281861",
            "country_code": "US",
            "telephone_number": "413-303-6132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DAN",
        "middle_name": "THANH LINH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": "13415",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN10000037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.