Individual provider Active NPI

Alan Long Nguyen, DDS

  • General Practice Dentistry
  • Westminster, CA
National Provider Identifier
1366567976
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37358 Issued in CA
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.

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
37358CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew 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

Updated by the provider on Feb 19, 2021

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 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

IdentifierTypeStateIssuer
1366567976MedicaidCA

NPI Registry JSON

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

{
    "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.

Verify at the official NPI Registry.