Organization Active NPI

SHG Nguyen Dental Corporation

  • General Practice Dentistry
  • Redwood City, CA
National Provider Identifier
1346538188
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40379 Issued in CA
Legal business name
SHG NGUYEN DENTAL CORPORATION
Practice address
1690 Woodside Rd
218
Redwood City, CA 94061-3497
Phone
(650) 365-1400
Fax
(650) 363-7799
NPI assigned
Jul 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Authorized official

Name
Mr. Brian B Nguyen
Title
Secretary
Phone
(408) 263-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 40379 CA Primary

Addresses

Primary practice location

1690 Woodside Rd
218
Redwood City, CA 94061-3497

Mailing address

1690 Woodside Road
218
Redwood City, CA 94061-3402
Phone (650) 365-1400

Other names 1

  • Prima Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1346538188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 WOODSIDE ROAD",
            "address_2": "218",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613402",
            "telephone_number": "650-365-1400",
            "fax_number": "650-363-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 WOODSIDE RD",
            "address_2": "218",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613497",
            "telephone_number": "650-365-1400",
            "fax_number": "650-363-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHG NGUYEN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "408-263-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prima Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.