Active NPI
Hung Khai Nguyen, DDS
- General Practice Dentistry
- San Diego, CA
National Provider Identifier
1306976121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 38722
- Practice address
- 4712 El Cajon Blvd
#G
San Diego, CA 92115-4557 - Phone
- (619) 521-0580
- Fax
- (619) 640-0640
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- 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 | 38722 | CA | Primary |
Addresses
Primary practice location
4712 El Cajon Blvd
#G
San Diego, CA 92115-4557
Mailing address
4712 El Cajon Blvd Ste G
San Diego, CA 92115-4557
Phone (619) 521-0580
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B38722-01 | Medicaid | CA | |
| B38722 | Medicaid | CA | |
| D38722 | Medicaid | CA |
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 |
|---|---|---|---|
| 38722 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hung Khai Nguyen,D.D.S. ,Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- San Diego, CA
- NPI 1104230747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1306976121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4712 EL CAJON BLVD STE G",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921154557",
"telephone_number": "619-521-0580",
"fax_number": "619-640-0640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4712 EL CAJON BLVD",
"address_2": "#G",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921154557",
"telephone_number": "619-521-0580",
"fax_number": "619-640-0640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "HUNG",
"middle_name": "KHAI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "38722",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B38722-01",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B38722",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D38722",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.