Jason Khoa Nguyen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53634 Issued in CA

Practice address

6300 White LN Ste C
Bakersfield, CA 93309-8776

Phone

(661) 827-1100

Fax

(661) 827-1117

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jason Nguyen Dental Corporation

  • General Practice Dentistry
  • Santa Ana, CA
  • NPI 1356277156
  Authorized official Same address or phone
• Jason Nguyen's Dental Corporation

  dba Crown Dental

  • General Practice Dentistry
  • Bakersfield, CA
  • NPI 1649424532
  NPD (past) Authorized official

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1336219047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WHITE LN STE C",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933098776",
            "telephone_number": "661-827-1100",
            "fax_number": "661-827-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WHITE LN STE C",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933098776",
            "telephone_number": "661-827-1100",
            "fax_number": "661-827-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JASON",
        "middle_name": "KHOA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Trieu Nguyen, RPH
• Dinh-CHI Nguyen, DPM
• Hai Truong Nguyen
• Huy Minh Nguyen, M.D.
• Ivy Nguyen
• Jason Quoc Nguyen, PHARM.D
• Jennifer Nguyen, NP
• Julie Nguyen
• Kayla Nguyen, PHARMD
• Khiem Sy Nguyen

• General Practice Dentistry in Bakersfield, CA
• Providers in Bakersfield, 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 Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.