Organization Active NPI

Thao Minh Nguyen, DDS, Inc

  • Dental Clinic/Center
  • San Jose, CA
National Provider Identifier
1194212464
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
THAO MINH NGUYEN, DDS, INC
Practice address
2811 Story Rd Ste 50
San Jose, CA 95127-3924
Phone
(408) 929-9797
NPI assigned
Apr 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Thao Nguyen
Title
President
Phone
(408) 258-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2811 Story Rd Ste 50
San Jose, CA 95127-3924

Mailing address

2811 Story Rd Ste 50
San Jose, CA 95127-3924
Phone (408) 929-9797

Other names 2

  • NewGen Dental Doing business as
  • SmileWorld Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2811 Story Rd
Ste 50
San Jose, CA 95127
Phone (408) 929-9797

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1524355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1194212464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 STORY RD STE 50",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951273924",
            "telephone_number": "408-929-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 STORY RD STE 50",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951273924",
            "telephone_number": "408-929-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAO MINH NGUYEN, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-22",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-258-5555"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NewGen Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SmileWorld Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SmileWorld Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.