Organization Active NPI

Nguyen Dentistry Professional Corporation

Doing business as Beach Kids Dentistry

  • Dentist
  • Huntington Beach, CA
National Provider Identifier
1083229025
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NGUYEN DENTISTRY PROFESSIONAL CORPORATION
Doing business as
Beach Kids Dentistry
Practice address
16261 Beach Blvd
Huntington Beach, CA 92647-4102
Phone
(714) 847-0080
Fax
(714) 847-2243
NPI assigned
Sep 15, 2020
Last updated
Aug 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Dr. Christina Lanphuong Nguyen, DDSNPI 1497864250
Title
President
Phone
(714) 398-7299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

16261 Beach Blvd
Huntington Beach, CA 92647-4102

Mailing address

16261 Beach Blvd
Huntington Beach, CA 92647-4102
Phone (714) 847-0080

Other names 1

  • BEACH KIDS DENTISTRY Doing business as

National Provider Directory

National Provider Directory

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": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1083229025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16261 BEACH BLVD",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474102",
            "telephone_number": "714-847-0080",
            "fax_number": "714-847-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16261 BEACH BLVD",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474102",
            "telephone_number": "714-847-0080",
            "fax_number": "714-847-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN DENTISTRY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "LANPHUONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-398-7299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEACH KIDS DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BEACH KIDS DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.