Individual provider Active NPI

Tuan Hoang Nguyen, D.D.S

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1366517732
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48756 Issued in CA
Practice address
2470 Berryessa Rd
Suite I
San Jose, CA 95133-1309
Phone
(408) 254-4567
Fax
(408) 254-3567
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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 48756 CA Primary

Addresses

Primary practice location

2470 Berryessa Rd
Suite I
San Jose, CA 95133-1309

Mailing address

2470 Berryessa Rd
Suite I
San Jose, CA 95133-1309
Phone (408) 254-4567

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
48756CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tuan Hoang Nguyen DDS Inc. General Practice Past Accepting new patients

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1366517732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 BERRYESSA RD",
            "address_2": "SUITE I",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951331309",
            "telephone_number": "408-254-4567",
            "fax_number": "408-254-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 BERRYESSA RD",
            "address_2": "SUITE I",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951331309",
            "telephone_number": "408-254-4567",
            "fax_number": "408-254-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TUAN",
        "middle_name": "HOANG",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.