Chaulong Thi Nguyen, DDS MAGD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47764 Issued in CA

Practice address

724 Oak Grove Ave Ste 120
Menlo Park, CA 94025-4362

Phone

(650) 838-0260

Fax

(650) 433-5054

NPI assigned

Mar 12, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Chaulong T Nguyen Dental Corporation

  • Dentist
  • Menlo Park, CA
  • NPI 1578579835
  NPD (past) Authorized official

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1124411228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 OAK GROVE AVE STE 120",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254362",
            "telephone_number": "650-838-0260",
            "fax_number": "650-433-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 OAK GROVE AVE STE 120",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254362",
            "telephone_number": "650-838-0260",
            "fax_number": "650-433-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHAULONG",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "DDS MAGD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndsey Nelson, LMFT
• Richard Nelson, M.D.
• Soeng NG
• Kim Thu Ngo, M.S., BCBA
• Alexander Phong Nguyen, MD
• Jenna Thuc-Uyen Nguyen, MD
• Jennifer Nguyen
• Linda Lam Nguyen, PA-C
• Paul Nguyen
• Thao Thu Nguyen, PHARMD

• General Practice Dentistry in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.