Active NPI
James a Nguyen DDS a Dental Corp
- General Practice Dentistry
- Redondo Beach, CA
National Provider Identifier
1124244348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 34391
- Legal business name
- JAMES A NGUYEN DDS A DENTAL CORP
- Practice address
- 1738 Aviation Blvd.
Redondo Beach, CA 90278 - Phone
- (310) 372-4900
- Fax
- (310) 372-4945
- NPI assigned
- Apr 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Anthony Nguyen, D.D.S.
- Title
- President
- Phone
- (310) 946-1052
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 34391 | CA | Primary |
Addresses
Primary practice location
1738 Aviation Blvd.
Redondo Beach, CA 90278
Mailing address
1738 Aviation Blvd.
Redondo Beach, CA 90278
Phone (310) 372-4900
National Provider Directory
National Provider DirectoryLocations
1738 Aviation Blvd
Redondo Beach, CA 90278
Phone (310) 372-4900
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": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124244348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1738 AVIATION BLVD.",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "90278",
"telephone_number": "310-372-4900",
"fax_number": "310-372-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1738 AVIATION BLVD.",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "90278",
"telephone_number": "310-372-4900",
"fax_number": "310-372-4945"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES A NGUYEN DDS A DENTAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-946-1052",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "34391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.