Organization Active NPI

Jason Nguyen Dental Corporation

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1356277156
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JASON NGUYEN DENTAL CORPORATION
Practice address
210 W 1St St Ste 110
Santa Ana, CA 92701-5243
Phone
(714) 543-1020
Fax
(714) 543-1251
NPI assigned
Jun 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Dr. Jason Khoa Nguyen, DDS
Title
DDS/Owner
Phone
(661) 827-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

210 W 1St St Ste 110
Santa Ana, CA 92701-5243

Mailing address

210 W 1St St Ste 110
Santa Ana, CA 92701-5243
Phone (714) 543-1020

National Provider Directory

National Provider Directory
Tax ID family
Crown Dental3 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.

Locations

210 W 1st St
Ste 110
Santa Ana, CA 92701
Phone (714) 543-1020

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": "1781827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1356277156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W 1ST ST STE 110",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015243",
            "telephone_number": "714-543-1020",
            "fax_number": "714-543-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W 1ST ST STE 110",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015243",
            "telephone_number": "714-543-1020",
            "fax_number": "714-543-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON NGUYEN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "KHOA",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "661-827-1100",
        "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": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.