Hung Khai Nguyen,D.D.S. ,Inc

Primary specialty

DentistTaxonomy code 122300000X

License

38722 Issued in CA

Legal business name

HUNG KHAI NGUYEN,D.D.S. ,INC

Practice address

4712 El Cajon Blvd Ste G
San Diego, CA 92115-4557

Phone

(619) 521-0580

Fax

(619) 640-0640

NPI assigned

Jun 11, 2014

Last updated

Jun 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hung Khai Nguyen, DDSNPI 1306976121

Title

President

Phone

(619) 521-0580

Specialties & licenses 1

Addresses

Locations

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.

• Hung Khai Nguyen, DDS

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1306976121
  NPD (past) Authorized official

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1104230747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 EL CAJON BLVD STE G",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154557",
            "telephone_number": "619-521-0580",
            "fax_number": "619-640-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 EL CAJON BLVD STE G",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154557",
            "telephone_number": "619-521-0580",
            "fax_number": "619-640-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNG KHAI NGUYEN,D.D.S. ,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HUNG",
        "authorized_official_middle_name": "KHAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-521-0580",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Humphries, CMT
• Patrick Humphries, MSN, RN AGACNP-BC
• Samantha Rose Hundemer, SLP
• Coty Huneau
• Angie Carolina Hung Ching, MD
• Amy Hung
• Chia Wen Hung, M.S., OTR/L
• Joy Tsai Yuan Hung, M.A.
• William Chun Pong Hung, PHARMD
• Edwin Lee Hunger

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.