NPIMap

Organization Active NPI

Amy K, Nguyen, DDS a Professional Dental Corporation

Doing business as Smile Craft Dental

  • General Practice Dentistry
  • Mountain View, CA
National Provider Identifier
1336415504
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AMY K, NGUYEN, DDS A PROFESSIONAL DENTAL CORPORATION
Doing business as
Smile Craft Dental
Practice address
1429 Grant Rd.
Suite B
Mountain View, CA 94040-3250
Phone
(650) 967-9900
Fax
(650) 967-9909
NPI assigned
Apr 1, 2012
Last updated
Jun 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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
President
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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1429 Grant Rd.
Suite B
Mountain View, CA 94040-3250

Mailing address

1429 Grant Rd.
Suite B
Mountain View, CA 94040-3250
Phone (650) 967-9900

Other names 1

  • Smile Craft Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1333238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1336415504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 GRANT RD.",
            "address_2": "SUITE B",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403250",
            "telephone_number": "650-967-9900",
            "fax_number": "650-967-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 GRANT RD.",
            "address_2": "SUITE B",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403250",
            "telephone_number": "650-967-9900",
            "fax_number": "650-967-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY K, NGUYEN, DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-01",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-606-7978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Craft Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.