Individual provider Active NPI

Duong C. Nguyen, D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Westminster, CA
National Provider Identifier
1144229527
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
40174 Issued in CA
Practice address
9900 McFadden Ave
Suite 204
Westminster, CA 92683-6978
Phone
(714) 418-2189
Fax
(714) 418-2190
NPI assigned
Jul 19, 2005
Last updated
Oct 29, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 40174 CA Primary

Addresses

Primary practice location

9900 McFadden Ave
Suite 204
Westminster, CA 92683-6978

Mailing address

9900 McFadden Ave
Suite 204
Westminster, CA 92683-6978
Phone (714) 418-2189

Other identifiers 1

IdentifierTypeStateIssuer
D40174MedicaidCA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
40174CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1144229527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 MCFADDEN AVE",
            "address_2": "SUITE 204",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836978",
            "telephone_number": "714-418-2189",
            "fax_number": "714-418-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 MCFADDEN AVE",
            "address_2": "SUITE 204",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836978",
            "telephone_number": "714-418-2189",
            "fax_number": "714-418-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DUONG",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "40174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D40174",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.