Organization Active NPI

Terri Nguyen, D.D.S., Inc.

  • Dentist
  • San Francisco, CA
National Provider Identifier
1124179320
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TERRI NGUYEN, D.D.S., INC.
Practice address
26 W Portal Ave
Suite #4
San Francisco, CA 94127-1304
Phone
(415) 661-7779
Fax
(415) 592-0137
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Dr. Terri M Nguyen, D.D.S.NPI 1235280439
Title
Ceo
Phone
(415) 661-7779

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 Primary

Addresses

Primary practice location

26 W Portal Ave
Suite #4
San Francisco, CA 94127-1304

Mailing address

26 W Portal Ave
Suite #4
San Francisco, CA 94127-1304
Phone (415) 661-7779

Other names 1

  • West Portal Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

26 West Portal Ave
Ste 4
San Francisco, CA 94127
Phone (415) 604-9292

Practitioners & affiliated clinicians

Practitioners 3

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": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1124179320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 W PORTAL AVE",
            "address_2": "SUITE #4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271304",
            "telephone_number": "415-661-7779",
            "fax_number": "415-592-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W PORTAL AVE",
            "address_2": "SUITE #4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271304",
            "telephone_number": "415-661-7779",
            "fax_number": "415-592-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRI NGUYEN, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-661-7779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Portal Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.