Individual provider Active NPI

Christopher Dai Nguyen, D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Westminster, CA
National Provider Identifier
1194920173
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
53254 Issued in CA
Practice address
7611 Westminster Blvd Ste B
Westminster, CA 92683-3909
Phone
(714) 379-2144
Fax
(714) 379-2116
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN17304 FL
General Practice Dentistry 1223G0001X 53254 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 53254 CA Primary

Addresses

Primary practice location

7611 Westminster Blvd Ste B
Westminster, CA 92683-3909

Mailing address

7611 Westminster Blvd Ste B
Westminster, CA 92683-3909
Phone (714) 235-5542

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210226002414 CA Practitioner - Oral SurgeryPractitioner - Dentist 3375853740 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN17304FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Dai Nguyen D.D.S., a Professional Corporation CurrentSince Nov 20, 2020 Accepting new patients

Locations

7611 Westminster Blvd
Ste B
Westminster, CA 92683
Phone (714) 379-2144

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1194920173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7611 WESTMINSTER BLVD STE B",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833909",
            "telephone_number": "714-235-5542",
            "fax_number": "714-379-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 WESTMINSTER BLVD STE B",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833909",
            "telephone_number": "714-379-2144",
            "fax_number": "714-379-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAI",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17304",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53254",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "53254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.