Active NPI
Minh-Tri Huynh Nguyen, DMD
- Dentist
- Fountain Valley, CA
National Provider Identifier
1245306349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 47142
- Practice address
- 15975 Harbor Blvd
Fountain Valley, CA 92708-1303 - Phone
- (714) 386-2758
- Fax
- (714) 386-2758
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 47142 | CA | Primary |
Addresses
Primary practice location
15975 Harbor Blvd
Fountain Valley, CA 92708-1303
Mailing address
PO Box 602
Midway City, CA 92655-0602
Phone (714) 386-2758
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
| License | State | Type | Specialty |
|---|---|---|---|
| 47142 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minh-Tri Nguyen Dental Corp. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Fountain Valley, CA
- NPI 1326319252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491868800000",
"number": "1245306349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602",
"city": "MIDWAY CITY",
"state": "CA",
"postal_code": "926550602",
"telephone_number": "714-386-2758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15975 HARBOR BLVD",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927081303",
"telephone_number": "714-386-2758",
"fax_number": "714-386-2758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MINH-TRI",
"middle_name": "HUYNH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2017-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "47142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.