Organization Active NPI

Dat Nguyen, D.D.S., Inc.

  • General Practice Dentistry
  • Upland, CA
National Provider Identifier
1033395413
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54670 Issued in CA
Legal business name
DAT NGUYEN, D.D.S., INC.
Practice address
555 N Central Ave
Upland, CA 91786-4241
Phone
(909) 982-5960
Fax
(909) 982-7694
NPI assigned
Jan 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Dr. Dat Nguyen, DDSNPI 1770708943
Title
President
Phone
(909) 982-5960

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 54670 CA Primary

Addresses

Primary practice location

555 N Central Ave
Upland, CA 91786-4241

Mailing address

555 N Central Ave
Upland, CA 91786-4241
Phone (909) 982-5960

National Provider Directory

National Provider Directory

Locations

555 N Central Ave
Upland, CA 91786
Phone (909) 982-5690

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": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1033395413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N CENTRAL AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864241",
            "telephone_number": "909-982-5960",
            "fax_number": "909-982-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N CENTRAL AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864241",
            "telephone_number": "909-982-5960",
            "fax_number": "909-982-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAT NGUYEN, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-982-5960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.