Active NPI
Nguyen Dental Inc
- Dental Clinic/Center
- Hawthorne, CA
National Provider Identifier
1265579791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 53257
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Nguyen Dental
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.