Duc Huynh Nguyen, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DDS47399 Issued in CA

Practice address

5830 Oberlin Dr Ste 103
San Diego, CA 92121-3753

Phone

(858) 546-1802

NPI assigned

Jun 16, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1174973507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 OBERLIN DR STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213753",
            "telephone_number": "858-546-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 OBERLIN DR STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213753",
            "telephone_number": "858-546-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DUC",
        "middle_name": "HUYNH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "DDS47399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "47399",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diem Thuy Nguyen, PHARM.D.
• Don Duc Nguyen, M.D.
• Dong Phuong Nguyen, LAC
• Doug Tan Nguyen, M.D.
• Duc Nguyen, D.D.S.
• Duc Minh Nguyen
• Dun G Thi Phuong Nguyen, DDS
• Dung Ly Nguyen Sr., DDS
• Duy Duc Nguyen, D.D.S.
• Duyen Huong Nguyen, PHARM.D.

• Endodontics in San Diego, CA
• Providers in San Diego, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.