Active NPI
Duc Huu Nguyen
- Dental Hygienist
- Stockton, CA
National Provider Identifier
1013738129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- RDH37010
- Practice address
- 1031 Waterloo Rd
Stockton, CA 95205-4256 - Phone
- (209) 636-5555
- NPI assigned
- Oct 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | RDH37010 | CA | Primary |
Addresses
Primary practice location
1031 Waterloo Rd
Stockton, CA 95205-4256
Mailing address
4100 Babson Dr
Elk Grove, CA 95758-4586
Phone (916) 896-4259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RDH37010 | CA | MD | Dental Hygienist |
Interoperability endpoints
- duc.nguyen.p1@direct.cmcentersinc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1013738129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 BABSON DR",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957584586",
"telephone_number": "916-896-4259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 WATERLOO RD",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952054256",
"telephone_number": "209-636-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "DUC",
"middle_name": "HUU",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-21",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "RDH37010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.