NPIMap

Organization Active NPI

T. Nguyen, DDS, Corporation

  • Preferred Provider Organization
  • Hercules, CA
National Provider Identifier
1003005349
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
46659 Issued in CA
Legal business name
T. NGUYEN, DDS, CORPORATION
Practice address
500 Alfred Nobel Dr
285
Hercules, CA 94547-1838
Phone
(510) 741-7041
Fax
(510) 803-5200
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Authorized official

Name
Thang Nguyen, DDSNPI 1902958044
Title
President
Phone
(510) 741-7041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 46659 CA Primary

Addresses

Primary practice location

500 Alfred Nobel Dr
285
Hercules, CA 94547-1838

Mailing address

PO Box 1695
PO Box1695
West Sacramento, CA 95691-6695
Phone (510) 741-7041

National Provider Directory

National Provider Directory

Locations

500 Alfred Nobel Dr
Ste 285
Hercules, CA 94547
Phone (510) 741-7041

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1003005349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1695",
            "address_2": "PO BOX1695",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956916695",
            "telephone_number": "510-741-7041",
            "fax_number": "510-803-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALFRED NOBEL DR",
            "address_2": "285",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471838",
            "telephone_number": "510-741-7041",
            "fax_number": "510-803-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. NGUYEN, DDS, CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-741-7041",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "46659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hercules, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.