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MAI PHUONG NGOC NGUYEN D.D.S.
NPI 1083965719
Dentist in Tacoma, WA

Active since September 20, 2012PECOS Enrolled
1148 BROADWAY STE 100, TACOMA, WA 98402(253) 268-1170 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2025, Jul 1, 2021, Oct 25, 2017 (3 updates tracked since 2017).

About Mai Phuong Ngoc Nguyen D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAI PHUONG NGOC NGUYEN D.D.S. (NPI 1083965719) is an individual dentist in Tacoma, Washington, licensed in Washington (DE60394732) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083965719
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMAI PHUONG NGOC NGUYENCredential: D.D.S.
Location Address1148 BROADWAY STE 100Tacoma, WA 98402-3518
Mailing Address1148 Broadway Ste 100Tacoma, WA 98402-3518 · (253) 268-1170
Phone(253) 268-1170
Sole ProprietorNo
Enumeration DateSeptember 20, 2012
Last NPPES UpdateJanuary 7, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1083965719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · DE60394732
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 28348 (TX)
1148 BROADWAY STE 100, Tacoma, WA 98402
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mai Phuong Ngoc Nguyen D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. LORI M WELLER CNP
Nurse Practitioner
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 589-7030
LISA PRICE RDH
Dental Hygienist
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 268-1184
JENNIFER TABAKIN MD
Pediatrics
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 597-4550
CHAITRI DESAI
Pediatrics
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 471-4553
ASHLEY BURKHAMER RN
Registered Nurse
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 471-4553
MR. JOHN M GARCIA PA C
Physician Assistant (Medical)
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 722-2161
JESSICA ROSE SKELTON DO
Family Medicine
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 722-2161
JUSTIN S LEAS APRN
Nurse Practitioner (Family)
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 441-4742

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 Mai Phuong Nguyen's NPI number?

The NPI number for Mai Phuong Nguyen is 1083965719. It was assigned to this individual provider in the NPPES registry on September 20, 2012.

Where is Mai Phuong Nguyen located?

Mai Phuong Nguyen practices at 1148 Broadway Ste 100, Tacoma, WA 98402. The listed phone number is (253) 268-1170.

What is Mai Phuong Nguyen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mai Phuong Nguyen enrolled in Medicare?

Yes. Mai Phuong Nguyen is registered in the Medicare PECOS enrollment system.

What insurance does Mai Phuong Nguyen accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Mai Phuong Nguyen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mai Phuong Nguyen was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.