NPIMap

Organization Active NPI

Diem H. Nguyen, D.D.S, P.C

Doing business as Chantilly Dental Center

  • Dentist
  • Chantilly, VA
National Provider Identifier
1073785382
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401410421 Issued in VA
Legal business name
DIEM H. NGUYEN, D.D.S, P.C
Doing business as
Chantilly Dental Center
Practice address
3901 Centerview Dr
Suite #T
Chantilly, VA 20151-3228
Phone
(703) 467-0214
Fax
(703) 467-0568
NPI assigned
Mar 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Dr. Diem Thi Nguyen, D.D.S
Title
President
Phone
(703) 467-0214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 0401410421 VA Primary

Addresses

Primary practice location

3901 Centerview Dr
Suite #T
Chantilly, VA 20151-3228

Mailing address

3901 Centerview Dr
Suite #T
Chantilly, VA 20151-3228
Phone (703) 467-0214

Other names 1

  • CHANTILLY DENTAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

3901 Centerview Dr
Ste T
Chantilly, VA 20151
Phone (703) 467-0214

Practitioners & affiliated clinicians

Practitioners 4

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": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1073785382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 CENTERVIEW DR",
            "address_2": "SUITE #T",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513228",
            "telephone_number": "703-467-0214",
            "fax_number": "703-467-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CENTERVIEW DR",
            "address_2": "SUITE #T",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513228",
            "telephone_number": "703-467-0214",
            "fax_number": "703-467-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEM H. NGUYEN, D.D.S, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DIEM",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-467-0214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHANTILLY DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.