Organization Active NPI

Nguyen and Ta Professional Dental Corp

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pomona, CA
National Provider Identifier
1083784441
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
45396 Issued in CA
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

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
Dr. Allan D Nguyen, DDS, MS
Title
President
Phone
(909) 397-7855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Allan Nguyen DDS Ms3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.