Individual provider Active NPI

Don Nguyen, DDS

  • Dentist
  • Morgan Hill, CA
National Provider Identifier
1164543427
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
51505 Issued in CA
Practice address
370 W Dunne Ave
#3
Morgan Hill, CA 95037-4846
Phone
(408) 779-7391
Fax
(408) 779-5081
NPI assigned
Apr 3, 2007
Last updated
Mar 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 51505 CA Primary

Addresses

Primary practice location

370 W Dunne Ave
#3
Morgan Hill, CA 95037-4846

Mailing address

370 W. Dunne Ave.
#3
Morgan Hill, CA 95037
Phone (408) 779-7391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160504000521 CA Order and Referring Only - DentistPractitioner - Dentist 4183923709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
51505CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jon Y Hatakeyama DDS Inc Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1164543427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 W. DUNNE AVE.",
            "address_2": "#3",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "95037",
            "telephone_number": "408-779-7391",
            "fax_number": "408-779-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 W DUNNE AVE",
            "address_2": "#3",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950374846",
            "telephone_number": "408-779-7391",
            "fax_number": "408-779-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "51505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

Verify at the official NPI Registry.