NPIMap

Organization Active NPI

Nguyen and Tran Dental Corporation

  • Dentist
  • San Jose, CA
National Provider Identifier
1023623865
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NGUYEN AND TRAN DENTAL CORPORATION
Practice address
6130 Hellyer Avenue
San Jose, CA 95138
Phone
(408) 238-2647
Fax
(408) 238-2716
NPI assigned
Sep 9, 2020
Organization subpart
Yes
Parent organization
TOOTH FAIRY COTTAGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Andrew Nguyen, DDS
Title
Dentist/Owner
Phone
(408) 238-2647

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X

Addresses

Primary practice location

6130 Hellyer Avenue
San Jose, CA 95138

Mailing address

2680 S White Road
Suite 255
San Jose, CA 95148
Phone (408) 238-2647

Other names 1

  • Tooth Fairy Cottage Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nguyen and Tran Dental Corporation3 organizations share this tax ID, including this one
Part of
Nguyen and Tran Dental Corporation

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6130 Hellyer Ave
San Jose, CA 95138
Phone (408) 238-2647

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1023623865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 S WHITE ROAD",
            "address_2": "SUITE 255",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95148",
            "telephone_number": "408-238-2647",
            "fax_number": "408-238-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 HELLYER AVENUE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95138",
            "telephone_number": "408-238-2647",
            "fax_number": "408-238-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN AND TRAN DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOOTH FAIRY COTTAGE",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "408-238-2647",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tooth Fairy Cottage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.