DR. DERRICK DUNG NGUYEN JR. DO
NPI 1083415962
Student in an Organized Health Care Education/Training Program in Spokane, WA
About Dr. Derrick Dung Nguyen Jr. Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DERRICK DUNG NGUYEN JR. DO (NPI 1083415962) is an individual student in an organized health care education/training program in Spokane, Washington and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Derrick Dung Nguyen Jr. Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Derrick Nguyen's NPI number?
The NPI number for Derrick Nguyen is 1083415962. It was assigned to this individual provider in the NPPES registry on March 24, 2025.
Where is Derrick Nguyen located?
Derrick Nguyen practices at 101 W 8th Ave, Spokane, WA 99204. The listed phone number is (509) 475-6471.
What is Derrick Nguyen's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Derrick Nguyen enrolled in Medicare?
Yes. Derrick Nguyen is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Derrick Nguyen was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Derrick Dung Nguyen Jr., DO · NPI 1083415962
Student in an Organized Health Care Education/Training Program provider in Spokane, Washington. Individual provider, active in the CMS NPPES registry since March 24, 2025.
## Identity
- **NPI:** 1083415962 (Entity type: Individual)
- **Enumerated:** March 24, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 101 W 8TH AVE, Spokane, WA 99204-2307
- **Phone:** (509) 475-6471
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1083415962) · Data from the CMS NPPES public registry.