Elizabeth Kim Nguyen DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

52762 Issued in CA

Legal business name

ELIZABETH KIM NGUYEN DDS INC

Practice address

14521 Red Hill Ave
Tustin, CA 92780

Phone

(714) 838-9912

Fax

(714) 838-9913

NPI assigned

Jun 12, 2018

Organization subpart

No

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

Authorized official

Name

Elizabeth K Nguyen

Title

DDS

Phone

(714) 838-9912

Specialties & licenses 1

Addresses

Other names 1

• Tustin Village Dental Doing business as

Locations

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1346733573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14521 RED HILL AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806238",
            "telephone_number": "714-838-9912",
            "fax_number": "714-838-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14521 RED HILL AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92780",
            "telephone_number": "714-838-9912",
            "fax_number": "714-838-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH KIM NGUYEN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "714-838-9912"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "52762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tustin Village Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alexander Tyler Elson, O.D.
• Embracing Journey
• Empier of Care LLC

• Dental Clinic/Center in Tustin, CA
• Providers in Tustin, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.