Individual provider Active NPI

Linda Nguyen, DDS

  • General Practice Dentistry
  • Glendale, CA
National Provider Identifier
1356494082
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41971 Issued in CA
Practice address
4106 San Fernando Rd Ste D
Glendale, CA 91204-3821
Phone
(323) 804-4098
Fax
(818) 549-2227
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 41971 CA Primary

Addresses

Primary practice location

4106 San Fernando Rd Ste D
Glendale, CA 91204-3821

Mailing address

4106 San Fernando Rd Ste D
Glendale, CA 91204-3821
Phone (818) 549-2227

Other identifiers 2

IdentifierTypeStateIssuer
G9136401OtherCADENTICAL PROVIDER NUMBER
D41971OtherCARENDERING PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
41971CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Linda Nguyen DDS Inc General Practice CurrentSince Sep 27, 2020 Accepting new patients

Locations

4106 San Fernando Rd
Ste D
Glendale, CA 91204
Phone (323) 804-4098

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1356494082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 SAN FERNANDO RD STE D",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043821",
            "telephone_number": "818-549-2227",
            "fax_number": "818-549-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 SAN FERNANDO RD STE D",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043821",
            "telephone_number": "323-804-4098",
            "fax_number": "818-549-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LINDA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL PROVIDER NUMBER",
            "identifier": "G9136401",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING PROVIDER NUMBER",
            "identifier": "D41971",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

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