NPIMap

Organization Active NPI

Tu V Huynh DDS Dental Corporation

Doing business as Nova Dental

  • Dentist
  • Anaheim, CA
National Provider Identifier
1073682654
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
CA48615 Issued in CA
Legal business name
TU V HUYNH DDS DENTAL CORPORATION
Doing business as
Nova Dental
Practice address
111 S Brookhurst St
Anaheim, CA 92804
Phone
(714) 535-0998
Fax
(714) 535-1065
NPI assigned
Nov 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tu V Huynh, DDSNPI 1528205804
Title
President Ceo
Phone
(714) 535-0998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X CA48615 CA Primary

Addresses

Primary practice location

111 S Brookhurst St
Anaheim, CA 92804

Mailing address

111 S Brookhurst St
Anaheim, CA 92804
Phone (714) 535-0998

Other identifiers 1

IdentifierTypeStateIssuer
G93510MedicaidCA

Other names 1

  • Nova Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tu V Huynh DDS Dental Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

111 S Brookhurst St
Anaheim, CA 92804
Phone (714) 535-0998

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073682654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S BROOKHURST ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92804",
            "telephone_number": "714-535-0998",
            "fax_number": "714-535-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S BROOKHURST ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92804",
            "telephone_number": "714-535-0998",
            "fax_number": "714-535-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TU V HUYNH DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "TU",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "714-535-0998",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "CA48615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G93510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.