Organization Active NPI

John & Elizabeth Nguyen Dental Corp

Doing business as Yosemite Dental Arts

  • Dentist
  • Livermore, CA
National Provider Identifier
1265646905
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50962 Issued in CA
Legal business name
JOHN & ELIZABETH NGUYEN DENTAL CORP
Doing business as
Yosemite Dental Arts
Practice address
1352 Concannon Blvd
Building H
Livermore, CA 94550-6004
Phone
(925) 961-1101
Fax
(925) 961-1126
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Dr. John Tien Nguyen, DMD
Title
Owner
Phone
(925) 961-1101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 50962 CA Primary

Addresses

Primary practice location

1352 Concannon Blvd
Building H
Livermore, CA 94550-6004

Mailing address

5733 Newfields LN
Dublin, CA 94568-8781
Phone (925) 719-0532

Other names 1

  • Yosemite Dental Arts Doing business as

National Provider Directory

National Provider Directory

Locations

1352 Concannon Blvd
Bldg H
Livermore, CA 94550
Phone (925) 961-1101

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1265646905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5733 NEWFIELDS LN",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945688781",
            "telephone_number": "925-719-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 CONCANNON BLVD",
            "address_2": "BUILDING H",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945506004",
            "telephone_number": "925-961-1101",
            "fax_number": "925-961-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN & ELIZABETH NGUYEN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "TIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-961-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yosemite Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.