Organization Active NPI

Lan Nguyen

  • Dentist
  • Cupertino, CA
National Provider Identifier
1114390689
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37714 Issued in CA
Legal business name
LAN NGUYEN
Practice address
10301 S de Anza Blvd Ste 4
Cupertino, CA 95014-3027
Phone
(408) 996-8485
NPI assigned
Nov 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Lan Nguyen, DDSNPI 1871516690
Title
Owner
Phone
(408) 996-8485

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 37714 CA Primary

Addresses

Primary practice location

10301 S de Anza Blvd Ste 4
Cupertino, CA 95014-3027

Mailing address

10301 S de Anza Blvd Ste 4
Cupertino, CA 95014-3027
Phone (408) 996-8485

National Provider Directory

National Provider Directory

Locations

10301 S De Anza Blvd
Ste 4
Cupertino, CA 95014
Phone (408) 996-8485

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1114390689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 S DE ANZA BLVD STE 4",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143027",
            "telephone_number": "408-996-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 S DE ANZA BLVD STE 4",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143027",
            "telephone_number": "408-996-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAN NGUYEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-996-8485",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "37714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.