Active NPI
Jeanne Thi Nguyen, D.D.S
- Pediatric Dentistry
- Rancho Santa Margarita, CA
National Provider Identifier
1093971475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 59162
- Practice address
- 29941 Aventura
Suite C
Rancho Santa Margarita, CA 92688-2015 - Phone
- (949) 858-5150
- NPI assigned
- Aug 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 50054035 | NY | |
| Pediatric Dentistry | 1223P0221X | 59162 | CA | Primary |
Addresses
Primary practice location
29941 Aventura
Suite C
Rancho Santa Margarita, CA 92688-2015
Mailing address
18084 Lemon St
Fountain Valley, CA 92708-5842
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59162 | CA | MD | Pediatric Dentist |
| 50054035 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeanne Nguyen, DDS, Inc. | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Rancho Santa Margarita, CA
- NPI 1083006266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1093971475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18084 LEMON ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927085842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29941 AVENTURA",
"address_2": "SUITE C",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926882015",
"telephone_number": "949-858-5150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JEANNE",
"middle_name": "THI",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-05",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "50054035",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "59162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Santa Margarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.