Individual provider Active NPI

Van Thuy Nguyen, DMD

  • Dentist
  • Placentia, CA
National Provider Identifier
1023472123
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
106259 Issued in CA
Practice address
1251 E Imperial Hwy
Placentia, CA 92870-1718
Phone
(714) 528-8292
Fax
(714) 528-8373
NPI assigned
Apr 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 106259 CA Primary

Addresses

Primary practice location

1251 E Imperial Hwy
Placentia, CA 92870-1718

Mailing address

1251 E Imperial Hwy
Placentia, CA 92870-1718
Phone (714) 528-8292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170517002404 OH Order and Referring Only - DentistPractitioner - Dentist 8820365190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Van T. Nguyen DMD Corp CurrentSince Jan 2, 2022 Accepting new patients

Locations

1251 E Imperial Hwy
Placentia, CA 92870
Phone (714) 528-8292

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1023472123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 E IMPERIAL HWY",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928701718",
            "telephone_number": "714-528-8292",
            "fax_number": "714-528-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 E IMPERIAL HWY",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928701718",
            "telephone_number": "714-528-8292",
            "fax_number": "714-528-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VAN",
        "middle_name": "THUY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2021-12-31",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "106259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

Verify at the official NPI Registry.