Organization Active NPI

Area Dental Office

  • Dentist
  • Hemet, CA
National Provider Identifier
1053408898
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AREA DENTAL OFFICE
Practice address
640 N San Jaunto St
Ste B
Hemet, CA 92543
Phone
(951) 765-3174
Fax
(951) 658-1146
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Dr. Minhchau T Nguyen, DDS
Title
Co Owner
Phone
(951) 765-3174

Specialties & licenses 1

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

Addresses

Primary practice location

640 N San Jaunto St
Ste B
Hemet, CA 92543

Mailing address

640 N San Jaunto St
Ste B
Hemet, CA 92543
Phone (951) 765-3174

Other identifiers 1

IdentifierTypeStateIssuer
G9054701MedicaidCA

Other names 1

  • Area Dental Center Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1053408898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 N SAN JAUNTO ST",
            "address_2": "STE B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92543",
            "telephone_number": "951-765-3174",
            "fax_number": "951-658-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 N SAN JAUNTO ST",
            "address_2": "STE B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92543",
            "telephone_number": "951-765-3174",
            "fax_number": "951-658-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AREA DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MINHCHAU",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "951-765-3174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9054701",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Area Dental Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.