Organization Active NPI

Philip P. Nguyen, DDS Inc.

Doing business as Seal Beach Dentistry

  • Dentist
  • Seal Beach, CA
National Provider Identifier
1063958080
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47539 Issued in CA
Legal business name
PHILIP P. NGUYEN, DDS INC.
Doing business as
Seal Beach Dentistry
Practice address
1900 Saint Andrews Dr Ste a
Seal Beach, CA 90740-5553
Phone
(562) 430-1054
Fax
(562) 430-1547
NPI assigned
Jan 13, 2017
Last updated
Jan 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Dr. Philip P Nguyen, DDS
Title
President
Phone
(562) 430-1054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 47539 CA Primary

Addresses

Primary practice location

1900 Saint Andrews Dr Ste a
Seal Beach, CA 90740-5553

Mailing address

1900 Saint Andrews Dr Ste a
Seal Beach, CA 90740-5553
Phone (562) 430-1054

Other names 1

  • Seal Beach Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1900 Saint Andrews Dr
Ste A
Seal Beach, CA 90740
Phone (562) 430-1054

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1063958080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SAINT ANDREWS DR STE A",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907405553",
            "telephone_number": "562-430-1054",
            "fax_number": "562-430-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SAINT ANDREWS DR STE A",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907405553",
            "telephone_number": "562-430-1054",
            "fax_number": "562-430-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP P. NGUYEN, DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-430-1054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "47539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seal Beach Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seal Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.