Active NPI
Anthony Quang-Ha Nguyen, D.D.S
- General Practice Dentistry
- Ontario, CA
National Provider Identifier
1356595615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 57718
- Practice address
- 3549 Old Archibald Ranch Rd
Ontario, CA 91761-9161 - Phone
- (951) 741-5669
- NPI assigned
- Nov 12, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 57718 | CA | Primary |
Addresses
Primary practice location
3549 Old Archibald Ranch Rd
Ontario, CA 91761-9161
Mailing address
3549 Old Archibald Ranch Rd
Ontario, CA 91761-9161
Phone (951) 741-5669
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
| License | State | Type | Specialty |
|---|---|---|---|
| 57718 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240790400000",
"number": "1356595615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3549 OLD ARCHIBALD RANCH RD",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917619161",
"telephone_number": "951-741-5669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3549 OLD ARCHIBALD RANCH RD",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917619161",
"telephone_number": "951-741-5669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "ANTHONY",
"middle_name": "QUANG-HA",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-12",
"last_updated": "2009-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "57718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.