Boitran Cao Nguyen DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50426 Issued in CA

Legal business name

BOITRAN CAO NGUYEN DDS INC

Practice address

9560 Cuyamaca St
Suite 103
Santee, CA 92071-2689

Phone

(619) 448-5773

Fax

(619) 448-5770

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Boitran C Nguyen, DDSNPI 1437184769

Title

Owner

Phone

(619) 448-5773

Specialties & licenses 1

Addresses

Other names 1

• SIGNATURE DENTAL Doing business as

Locations

Practitioners 1

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

• Boitran Cao Nguyen, D.D.S

  • General Practice Dentistry
  • Santee, CA
  • NPI 1437184769
  NPD (past) Authorized official

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184744237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9560 CUYAMACA ST",
            "address_2": "SUITE 103",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712689",
            "telephone_number": "619-448-5773",
            "fax_number": "618-448-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9560 CUYAMACA ST",
            "address_2": "SUITE 103",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712689",
            "telephone_number": "619-448-5773",
            "fax_number": "619-448-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOITRAN CAO NGUYEN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "BOITRAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-448-5773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIGNATURE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Acio Bibat
• Orson Louis Billenstein
• Randolph Dale Blattler, R.N., RNFA
• Roella Pagsolingan Bley, LMT
• Carl Allen Boeck, O.D.
• Natasha Lynn Boykin
• BPM Dental Partnership
• Dennis Edward Bradtke, NA
• Charles E. Bragunier, M.P.T.
• Ramanpreet Brar

• General Practice Dentistry in Santee, CA
• Providers in Santee, 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 Aug 22, 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.