Organization Active NPI

Nguyen Dental Inc

  • Dental Clinic/Center
  • Hawthorne, CA
National Provider Identifier
1265579791
Registry record updated Dec 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
53257 Issued in CA
Legal business name
NGUYEN DENTAL INC
Doing business as
Nguyen Dental INC
Practice address
11855 Inglewood Ave
Hawthorne, CA 90250-2744
Phone
(310) 219-1098
Fax
(310) 219-0406
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2019

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

Authorized official

Name
Dr. Minh Duy Nguyen, D.M.D.
Title
Owner
Phone
(310) 219-1098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 53257 CA Primary

Addresses

Primary practice location

11855 Inglewood Ave
Hawthorne, CA 90250-2744

Mailing address

11855 Inglewood Ave
Hawthorne, CA 90250-2744
Phone (310) 219-1098

Other names 1

  • Nguyen Dental INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nguyen Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11855 Inglewood Ave
Hawthorne, CA 90250
Phone (310) 219-1098

11801 Inglewood Ave
Ste 6
Hawthorne, CA 90250

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577232000000",
    "number": "1265579791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11855 INGLEWOOD AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502744",
            "telephone_number": "310-219-1098",
            "fax_number": "310-219-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11855 INGLEWOOD AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502744",
            "telephone_number": "310-219-1098",
            "fax_number": "310-219-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2019-12-25",
        "certification_date": "2019-12-25",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "DUY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-219-1098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "53257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nguyen Dental INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nguyen Dental INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2019; 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.