Organization Active NPI

Nick K. Nguyen, DDS, a Professional Corporation

  • Dental Clinic/Center
  • Aliso Viejo, CA
National Provider Identifier
1366733594
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
48838 Issued in CA
Legal business name
NICK K. NGUYEN, DDS, A PROFESSIONAL CORPORATION
Practice address
6B Liberty Ste 120
Aliso Viejo, CA 92656-5833
Phone
(949) 215-4400
Fax
(949) 215-4402
NPI assigned
Apr 21, 2011
Organization subpart
Yes
Parent organization
NGUYEN & YANG, A GENERAL PARTNERSHIPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Authorized official

Name
Dr. Ly Thien Nguyen, PHARMD
Title
Secretary
Phone
(949) 215-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 48838 CA Primary

Addresses

Primary practice location

6B Liberty Ste 120
Aliso Viejo, CA 92656-5833

Mailing address

6B Liberty Ste 120
Aliso Viejo, CA 92656-5833
Phone (949) 215-4400

National Provider Directory

National Provider Directory

Locations

6B Liberty
Ste 120
Aliso Viejo, CA 92656
Phone (949) 215-4400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1366733594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6B LIBERTY STE 120",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565833",
            "telephone_number": "949-215-4400",
            "fax_number": "949-215-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6B LIBERTY STE 120",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565833",
            "telephone_number": "949-215-4400",
            "fax_number": "949-215-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICK K. NGUYEN, DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NGUYEN & YANG, A GENERAL PARTNERSHIP",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LY",
        "authorized_official_middle_name": "THIEN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "949-215-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "48838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.