Active NPI
Alan Long Nguyen, DDS
- General Practice Dentistry
- Westminster, CA
National Provider Identifier
1366567976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37358
- Practice address
- 13382 Goldenwest St Ste 110
Westminster, CA 92683-2247 - Phone
- (714) 379-5040
- Fax
- (714) 379-5042
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
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.
-
- General Practice Dentistry
- Westminster, CA
- NPI 1205016458
General Practice
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 |
|---|---|---|---|
| 37358 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alan Long Nguyen DDS, Inc. | General Practice | Current | Accepting new patients |
Locations
13382 Goldenwest St
Ste 110
Westminster, CA 92683
Phone (714) 379-5040
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 | 37358 | CA | Primary |
Addresses
Primary practice location
13382 Goldenwest St Ste 110
Westminster, CA 92683-2247
Mailing address
13382 Goldenwest St Ste 110
Westminster, CA 92683-2247
Phone (714) 379-5040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366567976 | Medicaid | CA |
NPI Registry JSON
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1366567976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13382 GOLDENWEST ST STE 110",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926832247",
"telephone_number": "714-379-5040",
"fax_number": "714-379-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13382 GOLDENWEST ST STE 110",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926832247",
"telephone_number": "714-379-5040",
"fax_number": "714-379-5042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "ALAN",
"middle_name": "LONG",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "37358",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366567976",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.