Organization Active NPI

Dr a Nguyen DDS Inc

  • Dental Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1205320314
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DR A NGUYEN DDS INC
Practice address
325 Old Newport Blvd
Newport Beach, CA 92663-4155
Phone
(714) 478-5416
NPI assigned
Jun 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Anh Loan Nguyen, DDS
Title
President
Phone
(714) 478-5416

Specialties & licenses 1

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

Addresses

Primary practice location

325 Old Newport Blvd
Newport Beach, CA 92663-4155

Mailing address

1431 High Bluff Dr
Newport Beach, CA 92660-8202
Phone (714) 478-5416

Other names 1

  • KIDS R US DENTAL Other name

National Provider Directory

National Provider Directory

Locations

325 Old Newport Blvd
Newport Beach, CA 92663
Phone (714) 478-5416

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1205320314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 HIGH BLUFF DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608202",
            "telephone_number": "714-478-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 OLD NEWPORT BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634155",
            "telephone_number": "714-478-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR A NGUYEN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ANH",
        "authorized_official_middle_name": "LOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-478-5416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIDS R US DENTAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.