Active NPI
Jimmy Truong Nguyen, D.D.S
- General Practice Dentistry
- Riverside, CA
National Provider Identifier
1194979989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 57891
- Practice address
- 7120 Indiana Ave Ste B
Riverside, CA 92504-4500 - Phone
- (951) 276-2877
- Fax
- (951) 276-1124
- NPI assigned
- Nov 6, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 57891 | CA | Primary |
Addresses
Primary practice location
7120 Indiana Ave Ste B
Riverside, CA 92504-4500
Mailing address
7990 Stepping Stone Cir
Stanton, CA 90680-4054
Phone (714) 372-3472
Other practice location 1
7990 Stepping Stone Cir
Stanton, CA 90680-4054
Phone (714) 372-3472
Other practice location 2
13089 Peyton Dr Ste B
Chino Hills, CA 91709-6018
Phone (909) 548-3031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57891 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jimmy Nguyen DDS Inc | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Chino Hills, CA
- NPI 1881295384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1194979989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7990 STEPPING STONE CIR",
"city": "STANTON",
"state": "CA",
"postal_code": "906804054",
"telephone_number": "714-372-3472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7120 INDIANA AVE STE B",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925044500",
"telephone_number": "951-276-2877",
"fax_number": "951-276-1124"
}
],
"practiceLocations": [
{
"address_1": "7990 Stepping Stone Cir",
"address_purpose": "LOCATION",
"city": "Stanton",
"state": "CA",
"postal_code": "906804054",
"country_code": "US",
"telephone_number": "714-372-3472",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13089 Peyton Dr Ste B",
"address_purpose": "LOCATION",
"city": "Chino Hills",
"state": "CA",
"postal_code": "917096018",
"country_code": "US",
"telephone_number": "909-548-3031",
"fax_number": "909-548-3047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "JIMMY",
"middle_name": "TRUONG",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-06",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "57891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.