Jeanne Nguyen, DDS, Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

59162 Issued in CA

Legal business name

JEANNE NGUYEN, DDS, INC.

Practice address

29941 Aventura Ste C
Rancho Santa Margarita, CA 92688-2015

Phone

(949) 858-5150

NPI assigned

Feb 25, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jeanne Thi Nguyen, DDSNPI 1093971475

Title

President/Owner

Phone

(949) 858-5150

Specialties & licenses 1

Addresses

Other names 1

• Santa Margarita Pediatric Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeanne Thi Nguyen, D.D.S

  • Pediatric Dentistry
  • Rancho Santa Margarita, CA
  • NPI 1093971475
  NPD (past) Authorized official

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1083006266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29941 AVENTURA STE C",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882015",
            "telephone_number": "949-858-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29941 AVENTURA STE C",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882015",
            "telephone_number": "949-858-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNE NGUYEN, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "949-858-5150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "59162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Margarita Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Jacobi, PT, DPT
• Zakiat Nur-Darojat Jalilvand, DO
• James T Wang MD Inc
• Natalie James, LAC
• Jamie H. Tran, DMD, MSD, Inc.
• Jeff Wong, DDS, Inc
• Katie Lynne Jeko
• George Anthony Jelaco
• Alfredo Jimenez
• JL Mobile Phlebotomy LLC

• Pediatric Dentistry in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.