NPIMap

Organization Active NPI

Tuan Hoang Nguyen DDS Inc.

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1275049751
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48756 Issued in CA
Legal business name
TUAN HOANG NGUYEN DDS INC.
Practice address
2470 Berryessa Rd Ste I
San Jose, CA 95133-1309
Phone
(408) 254-4567
Fax
(408) 254-3567
NPI assigned
Dec 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Authorized official

Name
Dr. Tuan H Nguyen, DDSNPI 1366517732
Title
President
Phone
(408) 254-4567

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 48756 CA Primary

Addresses

Primary practice location

2470 Berryessa Rd Ste I
San Jose, CA 95133-1309

Mailing address

2470 Berryessa Rd Ste I
San Jose, CA 95133-1309
Phone (408) 254-4567

Other identifiers 1

IdentifierTypeStateIssuer
B48756-01MedicaidCA

Other names 1

  • TM North Valley Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

2470 Berryessa Rd
Ste I
San Jose, CA 95133
Phone (408) 254-4567

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": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1275049751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 BERRYESSA RD STE I",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951331309",
            "telephone_number": "408-254-4567",
            "fax_number": "408-254-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 BERRYESSA RD STE I",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951331309",
            "telephone_number": "408-254-4567",
            "fax_number": "408-254-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUAN HOANG NGUYEN DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-254-4567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B48756-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TM North Valley Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.