Active NPI
Long Nguyen, DDS
- General Practice Dentistry
- San Jose, CA
National Provider Identifier
1154488757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 46908
- Practice address
- 2593 S King Rd
Suite 2
San Jose, CA 95122-1880 - Phone
- (408) 270-5384
- Fax
- (408) 270-7799
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 46908 | CA | Primary |
Addresses
Primary practice location
2593 S King Rd
Suite 2
San Jose, CA 95122-1880
Mailing address
2593 S King Rd
Suite 2
San Jose, CA 95122-1880
Phone (408) 270-5384
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G93851 | Other | CA | DENTI-CAL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 46908 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154488757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2593 S KING RD",
"address_2": "SUITE 2",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951221880",
"telephone_number": "408-270-5384",
"fax_number": "408-270-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2593 S KING RD",
"address_2": "SUITE 2",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951221880",
"telephone_number": "408-270-5384",
"fax_number": "408-270-7799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "LONG",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "46908",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI-CAL",
"identifier": "G93851",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.