Nam T. Nguyen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

57895 Issued in CA

Practice address

5636 Stevens Creek Blvd Apt 171
Cupertino, CA 95014-7619

Phone

(408) 242-8027

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239753600000",
    "number": "1144300963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5636 STEVENS CREEK BLVD APT 171",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950147619",
            "telephone_number": "408-242-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5636 STEVENS CREEK BLVD APT 171",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950147619",
            "telephone_number": "408-242-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NAM",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2009-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "D8218",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Duyen Nguyen, PT, DPT
• Khoa Dang Nguyen
• Lan B Nguyen, DDS
• Michelle Nguyen, D.D.S.
• Minhdai Thi Nguyen, PHARM.D
• Nguyen Nhat Nguyen
• Stephanie Nguyen
• Victoria Nguyen, DMD
• Katherine Levine Nickerson, P.T.
• Neha G. Nirodi, M.D.

• General Practice Dentistry in Cupertino, CA
• Providers in Cupertino, 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 Apr 15, 2009; 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.