Individual provider Active NPI

Huong Nguyen, DMD

  • General Practice Dentistry
  • Milpitas, CA
National Provider Identifier
1316547805
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
103383 Issued in CA
Practice address
995 Montague Expy
Milpitas, CA 95035-6851
Phone
(408) 873-8321
NPI assigned
Oct 26, 2020
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 103383 CA Primary

Addresses

Primary practice location

995 Montague Expy
Milpitas, CA 95035-6851

Mailing address

5917 Shawcroft Dr
San Jose, CA 95123-4241

Other practice location 1

10440 S De Anza Blvd Ste D4
Cupertino, CA 95014-3018
Phone (408) 873-8321

Other identifiers 1

IdentifierTypeStateIssuer
103838OtherCALIFORNIA LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cupertino@agapedental.com

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

LicenseStateTypeSpecialty
103383CAMDGeneral Practice Dentistry

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15085/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1316547805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 SHAWCROFT DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951234241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 MONTAGUE EXPY",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356851",
            "telephone_number": "408-873-8321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10440 S De Anza Blvd Ste D4",
            "address_purpose": "LOCATION",
            "city": "Cupertino",
            "state": "CA",
            "postal_code": "950143018",
            "country_code": "US",
            "telephone_number": "408-873-8321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HUONG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE",
            "identifier": "103838",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cupertino@agapedental.com",
            "affiliation": "N",
            "address_1": "10440 S De Anza Blvd Ste D4",
            "city": "Cupertino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950143018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.