Timothy Tien DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

57926 Issued in CA

Legal business name

TIMOTHY TIEN DDS PC

Doing business as

Boulevard Dental Center

Practice address

3531 El Cajon Blvd
Suite a
San Diego, CA 92104-1512

Phone

(619) 584-8975

Fax

(619) 584-0682

NPI assigned

Jan 6, 2011

Last updated

Jan 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Quoc Tien, DDSNPI 1578629283

Title

Ceo

Phone

(619) 584-8975

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Boulevard Dental Center Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Quoc Tien, DDS

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1578629283
  NPD (past) Authorized official
• Chan Kim Nguyen, DDS

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1093854101
  NPD (past)
• Thanh Duc Nguyen, DMD

  • Dentist
  • Fountain Valley, CA
  • NPI 1093854788
  NPD (past)

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1275837171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 EL CAJON BLVD",
            "address_2": "SUITE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921041512",
            "telephone_number": "619-584-8975",
            "fax_number": "619-584-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 EL CAJON BLVD",
            "address_2": "SUITE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921041512",
            "telephone_number": "619-584-8975",
            "fax_number": "619-584-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY TIEN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "TIEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "QUOC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-584-8975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA AHCCCS ID#",
            "identifier": "825739",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulevard Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa Cooney Timony, PMHNP-BC
• Timothy H. Rayner, M.D., a Medical Corporation
• Timothy L Cannis MD Inc
• Timothy R Dooley M D Professional Corporation
• Timothy R. Garofolo, DDS Inc (San Diego Dentistry Studio)
• Darrell Timpa, IDC
• Beth K Timpe, CNMW
• Devin Timpson, PT, DPT
• Thalie Marissa Timsit, PA-C
• Tina Mobasseri, DDS Inc

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, 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 Jan 6, 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.