Peter Nguyen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

107619 Issued in CA

Practice address

828 W 6TH St
Corona, CA 92882-3237

Phone

(951) 736-0641

NPI assigned

Jul 22, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peter P Nguyen DMD Inc

  • Dental Clinic/Center
  • Corona, CA
  • NPI 1477247377
  NPD Authorized official

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1164157160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 ASHWOOD CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928818820",
            "telephone_number": "858-692-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 W 6TH ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823237",
            "telephone_number": "951-736-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PETER",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linh Phan Thuy Nguyen
• Lisa Khoa Nguyen, PHARMD
• Nhi T Nguyen, O.D.
• Niki Nguyen, PHARMD.
• Patrick Duc Nguyen
• Phinphin Thi Nguyen, PHARMACIST
• Rick Kieu Nguyen, NP
• Rose Nguyen
• Serena V Nguyen, RPH
• Steven Nguyen, FNP-C

• Dentist in Corona, CA
• Providers in Corona, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.