Organization Active NPI

Amy Kim Nguyen, DDS a Professional Dental Corporation

  • Dental Clinic/Center
  • Redwood City, CA
National Provider Identifier
1285199216
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AMY KIM NGUYEN, DDS A PROFESSIONAL DENTAL CORPORATION
Practice address
2531 El Camino Real
Redwood City, CA 94061-3812
Phone
(650) 880-1550
Fax
(650) 880-1551
NPI assigned
Feb 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Authorized official

Name
Dr. Amy K. Nguyen, DDSNPI 1780996405
Title
Owner
Phone
(562) 606-7978

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2531 El Camino Real
Redwood City, CA 94061-3812

Mailing address

2531 El Camino Real
Redwood City, CA 94061-3812
Phone (650) 880-1550

Other names 1

  • Smile Craft Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

2531 El Camino Real
Redwood City, CA 94061
Phone (650) 880-1550

Practitioners & affiliated clinicians

Practitioners 2

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": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1285199216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 EL CAMINO REAL",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613812",
            "telephone_number": "650-880-1550",
            "fax_number": "650-880-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 EL CAMINO REAL",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613812",
            "telephone_number": "650-880-1550",
            "fax_number": "650-880-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY KIM NGUYEN, DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-606-7978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Craft Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.