Organization Active NPI

Khoi Binh Nguyen Dental Corporation

  • General Practice Dentistry
  • Tustin, CA
National Provider Identifier
1235583253
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KHOI BINH NGUYEN DENTAL CORPORATION
Practice address
17602 17TH St
Suite 105
Tustin, CA 92780-1961
Phone
(714) 450-8570
NPI assigned
Apr 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Authorized official

Name
Khoi Binh Nguyen, DDS
Title
Owner
Phone
(949) 842-6151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

17602 17TH St
Suite 105
Tustin, CA 92780-1961

Mailing address

17602 17TH St
Suite 105
Tustin, CA 92780-1961
Phone (714) 450-8570

Other names 1

  • Simply Dentistry Practice of Khoi Bihn Nguyen Dental Corporation Former legal business name

National Provider Directory

National Provider Directory

Locations

17602 17th St
Ste 105
Tustin, CA 92780
Phone (714) 450-8570

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1235583253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17602 17TH ST",
            "address_2": "SUITE 105",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801961",
            "telephone_number": "714-450-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17602 17TH ST",
            "address_2": "SUITE 105",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801961",
            "telephone_number": "714-450-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHOI BINH NGUYEN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KHOI",
        "authorized_official_middle_name": "BINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-842-6151",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simply Dentistry Practice of Khoi Bihn Nguyen Dental Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.