Thuy-Anh P. Nguyen, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47140 Issued in CA

Legal business name

THUY-ANH P. NGUYEN, DDS, INC.

Practice address

4950 Barranca Pkwy
Suite 309
Irvine, CA 92604

Phone

(949) 552-5055

Fax

(949) 552-6613

NPI assigned

Nov 22, 2011

Organization subpart

Yes

Parent organization

WOODBRIDGE DENTISTRYAs reported in NPPES

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

Authorized official

Name

Dr. Thuy-Anh Pham Nguyen, D.D.S.NPI 1346485752

Title

President

Phone

(949) 303-5475

Specialties & licenses 1

Addresses

Other names 1

• Woodbridge Dentistry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Thuy-Anh P Nguyen DDS Inc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thuy-Anh Pham Nguyen, D.D.S.

  • General Practice Dentistry
  • Irvine, CA
  • NPI 1346485752

  CA, General Practice

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1306113089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 BARRANCA PKWY",
            "address_2": "SUITE 309",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044671",
            "telephone_number": "949-552-5055",
            "fax_number": "949-552-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 BARRANCA PKWY",
            "address_2": "SUITE 309",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92604",
            "telephone_number": "949-552-5055",
            "fax_number": "949-552-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUY-ANH P. NGUYEN, DDS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOODBRIDGE DENTISTRY",
        "enumeration_date": "2011-11-22",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THUY-ANH",
        "authorized_official_middle_name": "PHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-303-5475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodbridge Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Irvine, CA
• Providers in Irvine, 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 Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.