Trung Nguyen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43051 Issued in CA

Practice address

5640 Lake Isabella Blvd # A5
Box 3254
Lake Isabella, CA 93240

Phone

(661) 350-0387

NPI assigned

May 15, 2007

Last updated

Oct 8, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: trung.nguyen.2@17661.direct.athenahealth.com

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1275749145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 LAKE ISABELLA BLVD # A5",
            "address_2": "PO BOX 3254",
            "city": "LAKE ISABELLA",
            "state": "CA",
            "postal_code": "93240",
            "telephone_number": "661-350-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 LAKE ISABELLA BLVD # A5",
            "address_2": "BOX 3254",
            "city": "LAKE ISABELLA",
            "state": "CA",
            "postal_code": "93240",
            "telephone_number": "661-350-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRUNG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Moseley
• Jack Sanford Nadler, M.D.
• Nicholas Anthony Nardone, DR. A.D., FACT, RAS
• Kayla Nevius
• Peter Jackson Newell, M.D.
• Annette Olvera Nunez, CASE MANAGER
• Leanna Elaine Olson-Silva
• Kimberly Marie Paris
• Catlin Vana Marie Payne
• Rosalie Cheryl Pearman

• General Practice Dentistry in Lake Isabella, CA
• Providers in Lake Isabella, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.