Active NPI
Khoi Binh Nguyen Dental Corporation
- General Practice Dentistry
- Tustin, CA
National Provider Identifier
1235583253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.