Organization Active NPI

Quy Lam Nguyen DDS Inc

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1265708358
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60682 Issued in CA
Legal business name
QUY LAM NGUYEN DDS INC
Doing business as
Dr Q Dental Group
Dr Q Dental Group San Diego
Practice address
8963 Mira Mesa Blvd
San Diego, CA 92126-2716
Phone
(858) 757-9171
Fax
(833) 623-3965
NPI assigned
Mar 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Dr. Quy Lam Phuoc Nguyen, D.D.S.NPI 1174802813
Title
President
Phone
(858) 757-9171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 60682 CA Primary

Addresses

Primary practice location

8963 Mira Mesa Blvd
San Diego, CA 92126-2716

Mailing address

11863 Spruce Run Dr Apt C
San Diego, CA 92131-4746
Phone (619) 584-4015

Other names 2

  • Dr Q Dental Group Doing business as
  • Dr Q Dental Group San Diego Doing business as

National Provider Directory

National Provider Directory

Locations

8963 Mira Mesa Blvd
San Diego, CA 92126
Phone (858) 757-9171

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1265708358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11863 SPRUCE RUN DR APT C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921314746",
            "telephone_number": "619-584-4015",
            "fax_number": "619-584-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8963 MIRA MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262716",
            "telephone_number": "858-757-9171",
            "fax_number": "833-623-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUY LAM NGUYEN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "QUY LAM",
        "authorized_official_middle_name": "PHUOC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-757-9171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Q Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr Q Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr Q Dental Group San Diego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.