Organization Active NPI

Nguyen Le Nam, Inc.

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1194040147
Registry record updated Apr 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7458 Issued in AZ
Legal business name
NGUYEN LE NAM, INC.
Practice address
2040 W Orange Grove Rd
Suite 160
Tucson, AZ 85704-1200
Phone
(520) 505-4858
Fax
(520) 638-7781
NPI assigned
Apr 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2010

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

Authorized official

Name
Dr. Nam L Nguyen, D.D.S.
Title
Ceo
Phone
(520) 505-4858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7458 AZ Primary

Addresses

Primary practice location

2040 W Orange Grove Rd
Suite 160
Tucson, AZ 85704-1200

Mailing address

2040 W Orange Grove Rd
Suite 160
Tucson, AZ 85704-1200
Phone (520) 505-4858

Other names 1

  • LA CHOLLA DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

2040 W Orange Grove Rd
Ste 160
Tucson, AZ 85704
Phone (520) 505-4858

NPI Registry JSON

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

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270166400000",
    "number": "1194040147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 W ORANGE GROVE RD",
            "address_2": "SUITE 160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041200",
            "telephone_number": "520-505-4858",
            "fax_number": "520-638-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 W ORANGE GROVE RD",
            "address_2": "SUITE 160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041200",
            "telephone_number": "520-505-4858",
            "fax_number": "520-638-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN LE NAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-02",
        "last_updated": "2010-04-02",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "NAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-505-4858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "7458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA CHOLLA DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; 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.