29 Palms Dental Group, an Nguyen DDS Ms Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

29 PALMS DENTAL GROUP, AN NGUYEN DDS MS CORP

Practice address

73666 Joshua Dr
Twentynine Palms, CA 92277-2572

Phone

(760) 865-0544

Fax

(888) 877-5510

NPI assigned

Oct 13, 2014

Organization subpart

No

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

Authorized official

Name

Dr. An Van Nguyen, DDS, MSNPI 1104963750

Title

Ceo

Phone

(760) 865-0544

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

29 Palms Dental Group an Nguyen DDS Ms Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• 29 Palms Dental Group, an Nguyen DDS Ms Corp

  • Dentist
  • Twentynine Palms, CA
  • NPI 1598373292
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• An Van Nguyen, DDS

  • Dentist
  • Twentynine Palms, CA
  • NPI 1104963750

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1154725612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73666 JOSHUA DR",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922772572",
            "telephone_number": "760-865-0544",
            "fax_number": "888-877-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73666 JOSHUA DR",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922772572",
            "telephone_number": "760-865-0544",
            "fax_number": "888-877-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "29 PALMS DENTAL GROUP, AN NGUYEN DDS MS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "AN",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-865-0544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smile29dental@live.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "73666 Joshua Dr",
            "city": "Twentynine Palms",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922772572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• 29 Palms Dental Group, an Nguyen DDS Ms Corp
• 29 Palms Surgery Center Incorporated
• Sarina Acharya, PHARMD
• Judiahiah Adams
• Pauline Ade

• General Practice Dentistry in Twentynine Palms, CA
• Providers in Twentynine Palms, 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 Jul 15, 2020; 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.