Active NPI
Dan C. Nguyen, DDS, MS, PHD
- Orthodontics and Dentofacial Orthopedics Dentistry
- La Mirada, CA
National Provider Identifier
1255549853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 46308
- Practice address
- 15775 Imperial Hwy
La Mirada, CA 90638-2510 - Phone
- (562) 943-4488
- Fax
- (562) 943-4422
- NPI assigned
- May 18, 2007
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 46308 | CA | Primary |
Addresses
Primary practice location
15775 Imperial Hwy
La Mirada, CA 90638-2510
Mailing address
455 E Columbia St
Long Beach, CA 90806-1620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151012001489 | CA | Order and Referring Only - Dentist | 3476862509 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nguyen Group Dental Corporation | Current | Accepting new patients | |
| Perry DO DDS Ms Corp | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| Nguyen & DO Dental Corp | Past | Accepting new patients |
Interoperability endpoints
- danguyen@direct.westerndental.com
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.
-
- Dental Clinic/Center
- Rosemead, CA
- NPI 1447185830
-
- Preferred Provider Organization
- La Mirada, CA
- NPI 1508198615
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Irvine, CA
- NPI 1215755665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294444800000",
"number": "1255549853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 E COLUMBIA ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15775 IMPERIAL HWY",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906382510",
"telephone_number": "562-943-4488",
"fax_number": "562-943-4422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "DAN",
"middle_name": "C.",
"credential": "DDS, MS, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2011-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "46308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mirada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.