Individual provider Active NPI

Brian Nguyen

  • Dentist
  • Huntington Beach, CA
National Provider Identifier
1134538804
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
64309 Issued in CA
Practice address
16903 Beach Blvd
Huntington Beach, CA 92647-4808
Phone
(714) 379-6248
NPI assigned
Aug 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401414571 VA
Dentist 122300000X 64309 CA Primary

Addresses

Primary practice location

16903 Beach Blvd
Huntington Beach, CA 92647-4808

Mailing address

2213 W Knox Ave
Santa Ana, CA 92704-5542

Other practice location 1

4431 68th St.
US Army Dental Activity
Fort Hood, TX 76544
Phone (714) 717-7550

Other practice location 2

9842 Adams Ave Ste 106
Huntington Beach, CA 92646-4827
Phone (714) 968-4907

Other practice location 3

8005 Florence Ave
Downey, CA 90240-3816
Phone (562) 927-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401414571VAMDDentist
64309CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence T Ha & Bichhhuyen Tong DDS, Inc Past Accepting new patients
Huy Nguy DMD Inc Past Accepting new patients
Magar and Sharifian Dental Corporation Past Accepting new patients
Sharifian and Huston Dental Corporation Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1134538804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 W KNOX AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16903 BEACH BLVD",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474808",
            "telephone_number": "714-379-6248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4431 68th St.",
            "address_2": "US Army Dental Activity",
            "address_purpose": "LOCATION",
            "city": "Fort Hood",
            "state": "TX",
            "postal_code": "76544",
            "country_code": "US",
            "telephone_number": "714-717-7550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9842 Adams Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926464827",
            "country_code": "US",
            "telephone_number": "714-968-4907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8005 Florence Ave",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902403816",
            "country_code": "US",
            "telephone_number": "562-927-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-07",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414571",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.