An Van Nguyen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN 17043 Issued in FL

Practice address

73666 Joshua Dr
Twentynine Palms, CA 92277-2572

Phone

(760) 666-3711

Fax

(760) 673-7321

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 29 Palms Dental Group, an Nguyen DDS Ms Corp

  • General Practice Dentistry
  • Twentynine Palms, CA
  • NPI 1154725612
  NPD Authorized official
• 29 Palms Dental Group, an Nguyen DDS Ms Corp

  • Dentist
  • Twentynine Palms, CA
  • NPI 1598373292
  NPD Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1104963750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73666 JOSHUA DR",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922772572",
            "telephone_number": "760-666-3711",
            "fax_number": "760-673-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73666 JOSHUA DR",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922772572",
            "telephone_number": "760-666-3711",
            "fax_number": "760-673-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "AN",
        "middle_name": "VAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56731",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 17043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SMILE29DENTAL@LIVE.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "73666 JOSHUA DR",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922772572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anthony Evan Naranjo, DDS
• Naval Hospital Twentynine Palms
• Felipe De Jesus Navarro, PA-C
• Colleen Anne Naylor, LCSW
• John James Nevin, M.D.
• Jack Nguyen
• NH Twentynine Palms
• Charles Richard Nixon II, MD
• Osmund Nogra, MD
• Jacob Brownlee Odom, DPT

• Dentist in Twentynine Palms, CA
• Providers in Twentynine Palms, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.