Chula Vista Periodontics

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

48526 Issued in CA

Legal business name

CHULA VISTA PERIODONTICS

Practice address

345 F St Ste 240
Chula Vista, CA 91910-2634

Phone

(619) 425-9770

Fax

(619) 425-9797

NPI assigned

May 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Susan Nguyen, D.D.S., M.S.D.NPI 1316914518

Title

Periodontist

Phone

(619) 425-9770

Specialties & licenses 1

Addresses

Other names 1

• Chula VIsta Periodontics Doing business as

Locations

Practitioners 2

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

• Susan T Nguyen, DDS, MSD

  • Periodontics
  • Chula Vista, CA
  • NPI 1316914518
  NPD (past) Authorized official
• Anne Elizabeth Bowman, D.D.S.

  • Periodontics
  • Chula Vista, CA
  • NPI 1912971524
  NPD (past)

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1164657128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 F ST STE 240",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102634",
            "telephone_number": "619-425-9770",
            "fax_number": "619-425-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 F ST STE 240",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102634",
            "telephone_number": "619-425-9770",
            "fax_number": "619-425-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHULA VISTA PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "619-425-9770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "48526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chula VIsta Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chula Vista Emergency Room Physicians, a Medical Corporation
• Chula Vista Heart Clinic, Inc.
• Chula Vista Imaging
• Chula Vista Internal Medicine & Cardiology Medical Group
• Chula Vista OB Hospitalist Group Inc
• Chula Vista Womens Care Inc
• Chulavista Pharmacy LLC
• Chulavista Pharmacy LLC
• Andrew Kyuchan Chung
• David Chung

• Periodontics in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.