Phuongha Nguyen DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

46205 Issued in CA

Legal business name

PHUONGHA NGUYEN DDS INC

Practice address

2390 Almaden Rd Ste 20
San Jose, CA 95125-2142

Phone

(408) 264-1471

Fax

(408) 264-1581

NPI assigned

Feb 27, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Phuongha Le Nguyen, D.D.S.NPI 1649347907

Title

Owner

Phone

(408) 264-1471

Specialties & licenses 1

Addresses

Other names 1

• ROYAL DENTAL PRACTICE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phuongha Le Nguyen, DDS

  • Dentist
  • San Jose, CA
  • NPI 1649347907
  NPD (past) Authorized official

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1245655232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 ALMADEN RD STE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252142",
            "telephone_number": "408-264-1471",
            "fax_number": "408-264-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 ALMADEN RD STE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252142",
            "telephone_number": "408-264-1471",
            "fax_number": "408-264-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHUONGHA NGUYEN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PHUONGHA",
        "authorized_official_middle_name": "LE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-264-1471",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROYAL DENTAL PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Phung
• Thanh T Phung, RPH
• Linda Phuong, PHARMD.
• Monica Phuong
• Natalie Nguyen Phuong, RPH
• Phypro Labs LLC
• Physicians Medical Group of San Jose Inc
• Physicians Medical Group of San Jose, Inc.
• Physicians Medical Group of San Jose, Inc.
• Physicians Medical Group of San Jose, Inc.

• Dentist in San Jose, CA
• Providers in San Jose, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.