Individual provider Active NPI

Nancy Bich Van Nguyen, D.D.S.

  • Dentist
  • San Jose, CA
National Provider Identifier
1225316078
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60472 Issued in CA
Practice address
841 Blossom Hill Rd Ste 110
San Jose, CA 95123-2704
Phone
(408) 362-9000
NPI assigned
Jul 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60472 CA Primary

Addresses

Primary practice location

841 Blossom Hill Rd Ste 110
San Jose, CA 95123-2704

Mailing address

841 Blossom Hill Rd Ste 110
San Jose, CA 95123-2704
Phone (408) 362-9000

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

LicenseStateTypeSpecialty
60472CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ana Melissa Sayoc Dental Corp. Dentist CurrentSince Dec 10, 2023 Accepting new patients
Stason K. Shishido, D.D.S. Inc. Past Accepting new patients
Shantiakazemi DDS Apc Dentist PastSince Oct 22, 2023 Accepting new patients

Locations

841 Blossom Hill Rd
Ste 110
San Jose, CA 95123
Phone (408) 362-9000

Organizations & group practices 3

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": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1225316078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 BLOSSOM HILL RD STE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951232704",
            "telephone_number": "408-362-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 BLOSSOM HILL RD STE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951232704",
            "telephone_number": "408-362-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NANCY",
        "middle_name": "BICH VAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 7, 2023; 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.