Organization Active NPI

Nguyen and Ta Professional Dental Corp.

Doing business as Allan Nguyen, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Covina, CA
National Provider Identifier
1346312758
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
45396 Issued in CA
Legal business name
NGUYEN AND TA PROFESSIONAL DENTAL CORP.
Doing business as
Allan Nguyen, DDS, MS
Practice address
1740 W Cameron Ave Ste 106
West Covina, CA 91790-2719
Phone
(626) 337-8844
Fax
(626) 337-4460
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Allan D Nguyen, DDS, MS
Title
President
Phone
(626) 337-8844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 45396 CA Primary

Addresses

Primary practice location

1740 W Cameron Ave Ste 106
West Covina, CA 91790-2719

Mailing address

1740 W Cameron Ave Ste 106
West Covina, CA 91790-2719
Phone (626) 337-8844

Other names 1

  • Allan Nguyen, DDS, MS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Allan Nguyen DDS Ms3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346312758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W CAMERON AVE STE 106",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902719",
            "telephone_number": "626-337-8844",
            "fax_number": "626-337-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W CAMERON AVE STE 106",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902719",
            "telephone_number": "626-337-8844",
            "fax_number": "626-337-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN AND TA PROFESSIONAL DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-337-8844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "45396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allan Nguyen, DDS, MS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.