Organization Active NPI

D. V. Nguyen, D.D.S., Corp

  • Dentist
  • San Diego, CA
National Provider Identifier
1033329149
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50797 Issued in CA
Legal business name
D. V. NGUYEN, D.D.S., CORP
Practice address
4082 30TH St
San Diego, CA 92104-2602
Phone
(619) 757-0079
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Authorized official

Name
Dr. Dean Van Nguyen, D.D.S.NPI 1396962023
Title
Dentist
Phone
(619) 757-0079

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 50797 CA Primary

Addresses

Primary practice location

4082 30TH St
San Diego, CA 92104-2602

Mailing address

4082 30TH St
San Diego, CA 92104-2602
Phone (619) 757-0079

National Provider Directory

National Provider Directory

Locations

4082 30th St
San Diego, CA 92104
Phone (619) 283-6381

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1033329149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4082 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042602",
            "telephone_number": "619-757-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4082 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042602",
            "telephone_number": "619-757-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. V. NGUYEN, D.D.S., CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "619-757-0079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.