Active NPI
Loan Kim Nguyen, D.D.S.
- General Practice Dentistry
- Sacramento, CA
National Provider Identifier
1275734386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 47767
- Practice address
- 8359 Elk Grove Florin Rd
Suite 101
Sacramento, CA 95829-9298 - Phone
- (916) 689-8281
- Fax
- (916) 689-8290
- NPI assigned
- May 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 47767 | CA | Primary |
Addresses
Primary practice location
8359 Elk Grove Florin Rd
Suite 101
Sacramento, CA 95829-9298
Mailing address
8359 Elk Grove Florin Rd
Suite 101
Sacramento, CA 95829-9298
Phone (916) 689-8281
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 916789 | Other | PA | UNITED CONCORDIA |
| G9842201 | Other | CA | HEALTHY FAMILIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47767 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275734386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8359 ELK GROVE FLORIN RD",
"address_2": "SUITE 101",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958299298",
"telephone_number": "916-689-8281",
"fax_number": "916-689-8290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8359 ELK GROVE FLORIN RD",
"address_2": "SUITE 101",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958299298",
"telephone_number": "916-689-8281",
"fax_number": "916-689-8290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "LOAN",
"middle_name": "KIM",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "47767",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "916789",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY FAMILIES",
"identifier": "G9842201",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.