Active NPI
Nguyen and Ta Professional Dental Corp
- Orthodontics and Dentofacial Orthopedics Dentistry
- Pomona, CA
National Provider Identifier
1083784441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 45396
- Legal business name
- NGUYEN AND TA PROFESSIONAL DENTAL CORP
- Practice address
- 2135 N Towne Ave
Pomona, CA 91767-2422 - Phone
- (909) 397-7855
- Fax
- (909) 397-7522
- NPI assigned
- Nov 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Allan D Nguyen, DDS, MS
- Title
- President
- Phone
- (909) 397-7855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 45396 | CA | Primary |
Addresses
Primary practice location
2135 N Towne Ave
Pomona, CA 91767-2422
Mailing address
2135 N Towne Ave
Pomona, CA 91767-2422
Phone (909) 397-7855
Other names 1
- Allan Nguyen, DDS, MS
National Provider Directory
National Provider Directory- Tax ID family
- Allan Nguyen DDS Ms
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- West Covina, CA
- NPI 1346312758
-
- Periodontics
- West Covina, CA
- NPI 1942370317
Locations
2135 N Towne Ave
Pomona, CA 91767
Phone (909) 397-5614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083784441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2135 N TOWNE AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917672422",
"telephone_number": "909-397-7855",
"fax_number": "909-397-7522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 N TOWNE AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917672422",
"telephone_number": "909-397-7855",
"fax_number": "909-397-7522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NGUYEN AND TA PROFESSIONAL DENTAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "ALLAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-397-7855",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, MS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "45396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Allan Nguyen, DDS, MS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pomona, 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.