DR. DAN NGUYEN DMD
NPI 1164252177
Dentist - General Practice in Springfield, OR

Active since August 05, 2024Opted out of Medicare · through Sep 23, 2027
2510 GAME FARM RD, SPRINGFIELD, OR 97477(855) 433-6825 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Dan Nguyen Dmd NPPES

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

DR. DAN NGUYEN DMD (NPI 1164252177) is an individual general practice provider in Springfield, Oregon, licensed in Oregon (D12042) and active in the NPI registry since August 2024. He has opted out of Medicare through September 23, 2027.

NPPES Registry Identity

NPI1164252177
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DAN NGUYENCredential: DMD
Location Address2510 GAME FARM RDSpringfield, OR 97477-7513
Mailing Address9280 Sw 176th AveBeaverton, OR 97007-9007 · (503) 866-3705
Sole ProprietorYes
Enumeration DateAugust 5, 2024
NPPES CertifiedAugust 5, 2024
NPI 1164252177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · D12042
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2510 GAME FARM RD, Springfield, OR 97477

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Dan Nguyen Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 23, 2025 through September 23, 2027.

Opt-Out Effective DateSeptember 23, 2025
Opt-Out In Effect ThroughSeptember 23, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
2510 GAME FARM RD
SPRINGFIELD, OR 97477
Dentist (Orthodontics and Dentofacial Orthopedics)
2510 GAME FARM RD
SPRINGFIELD, OR 97477
Dentist (General Practice)
2510 GAME FARM RD
SPRINGFIELD, OR 97477
Dentist (General Practice)
2510 GAME FARM RD
SPRINGFIELD, OR 97477
Dentist
2510 GAME FARM RD
SPRINGFIELD, OR 97477
Dental Hygienist
2510 GAME FARM RD
SPRINGFIELD, OR 97477
Dentist (General Practice)
2510 GAME FARM RD
SPRINGFIELD, OR 97477

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 Dan Nguyen's NPI number?

The NPI number for Dan Nguyen is 1164252177. It was assigned to this individual provider in the NPPES registry on August 5, 2024.

Where is Dan Nguyen located?

Dan Nguyen practices at 2510 Game Farm Rd, Springfield, OR 97477. The listed phone number is (855) 433-6825.

What is Dan Nguyen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Dan Nguyen enrolled in Medicare?

No. Dan Nguyen has opted out of Medicare through September 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Dan Nguyen was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.