NPIMap

Organization Active NPI

Elizabeth B. Nguyen DDS

  • Dental Clinic/Center
  • Redwoood City, CA
National Provider Identifier
1205274065
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
51118 Issued in CA
Legal business name
ELIZABETH B. NGUYEN DDS
Practice address
2480 El Camino Real
Redwoood City, CA 94063
Phone
(650) 216-8488
Fax
(650) 216-7488
NPI assigned
Jun 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Elizabeth B Nguyen, DDSNPI 1558436204
Title
DDS
Phone
(650) 305-1085

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 51118 CA Primary

Addresses

Primary practice location

2480 El Camino Real
Redwoood City, CA 94063

Mailing address

2480 El Camino Real
Redwoood City, CA 94063
Phone (650) 216-8488

Other names 1

  • Redwood City Smile Dental Other name

National Provider Directory

National Provider Directory

Locations

2480 El Camino Real
Redwood City, CA 94063
Phone (650) 216-8488

Practitioners & affiliated clinicians

Practitioners 3

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": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1205274065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 EL CAMINO REAL",
            "city": "REDWOOOD CITY",
            "state": "CA",
            "postal_code": "94063",
            "telephone_number": "650-216-8488",
            "fax_number": "650-216-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 EL CAMINO REAL",
            "city": "REDWOOOD CITY",
            "state": "CA",
            "postal_code": "94063",
            "telephone_number": "650-216-8488",
            "fax_number": "650-216-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH B. NGUYEN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "650-305-1085",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "51118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redwood City Smile Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Redwoood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.