MY THANH NGUYEN DDS
NPI 1871083204
Dentist - Oral and Maxillofacial Surgery in Stockton, CA

Q: What is My Nguyen's NPI number?

The NPI number for My Nguyen is 1871083204. It was assigned to this individual provider in the NPPES registry on May 10, 2018.

Q: What is My Nguyen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is My Nguyen enrolled in Medicare?

No. My Nguyen has opted out of Medicare through July 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for My Nguyen was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 10, 2018Opted out of Medicare · through Jul 19, 2027

6529 INGLEWOOD AVE STE A1, STOCKTON, CA 95207(209) 473-3788 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2025, Jun 20, 2023, Jan 6, 2023 and 1 more (4 updates tracked since 2018).

On this page

About My Thanh Nguyen Dds NPPES

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

MY THANH NGUYEN DDS (NPI 1871083204) is an individual oral and maxillofacial surgery provider in Stockton, California, licensed in California (DDS104539) and active in the NPI registry since May 2018. He has opted out of Medicare through July 19, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1871083204

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameMY THANH NGUYENCredential: DDS

Location Address6529 INGLEWOOD AVE STE A1Stockton, CA 95207-3864

Mailing Address6529 Inglewood Ave Ste A1Stockton, CA 95207-3864 · (209) 473-3788

Phone(209) 473-3788

Sole ProprietorNo

Enumeration DateMay 10, 2018

Last NPPES UpdateMay 14, 20254 updates tracked since enumeration

NPPES CertifiedMay 14, 2025

✔ NPI 1871083204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in CA · DDS104539

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

6529 INGLEWOOD AVE STE A1, Stockton, CA 95207

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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, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

My Thanh Nguyen Dds 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 July 19, 2023 through July 19, 2027.

Opt-Out Effective DateJuly 19, 2023

Opt-Out In Effect ThroughJuly 19, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95207 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.

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 My Nguyen's NPI number?

The NPI number for My Nguyen is 1871083204. It was assigned to this individual provider in the NPPES registry on May 10, 2018.

Where is My Nguyen located?

My Nguyen practices at 6529 Inglewood Ave Ste A1, Stockton, CA 95207. The listed phone number is (209) 473-3788.

What is My Nguyen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is My Nguyen enrolled in Medicare?

No. My Nguyen has opted out of Medicare through July 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does My Nguyen accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 3 other insurers list My 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 My Nguyen was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.