NPIMap

Organization Active NPI

Le-Nguyen Dental Inc

Doing business as El Portal Dental Group

  • General Practice Dentistry
  • Merced, CA
National Provider Identifier
1356488829
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51984 Issued in CA
Legal business name
LE-NGUYEN DENTAL INC
Doing business as
El Portal Dental Group
Practice address
3393 G St
Suite B
Merced, CA 95340-0964
Phone
(209) 385-1479
Fax
(209) 723-7087
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Authorized official

Name
Dr. Khang Cong Nguyen, DDS
Title
Ceo
Phone
(209) 385-1479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 51984 CA Primary

Addresses

Primary practice location

3393 G St
Suite B
Merced, CA 95340-0964

Mailing address

3393 G St
Suite B
Merced, CA 95340-0964
Phone (209) 385-1479

Other names 1

  • El Portal Dental Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1356488829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3393 G ST",
            "address_2": "SUITE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400964",
            "telephone_number": "209-385-1479",
            "fax_number": "209-723-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3393 G ST",
            "address_2": "SUITE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400964",
            "telephone_number": "209-385-1479",
            "fax_number": "209-723-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE-NGUYEN DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KHANG",
        "authorized_official_middle_name": "CONG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-385-1479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Portal Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.