Active NPI
Nguyen and Montilla Professional Dental Corporation
- General Practice Dentistry
- Northridge, CA
National Provider Identifier
1376390583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- NGUYEN AND MONTILLA PROFESSIONAL DENTAL CORPORATION
- Practice address
- 9545 Reseda Blvd Ste 1
Northridge, CA 91324-2348 - Phone
- (818) 886-6660
- Fax
- (818) 886-6660
- NPI assigned
- May 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nghi Nguyen
- Title
- Vice President
- Phone
- (805) 299-5430
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
9545 Reseda Blvd Ste 1
Northridge, CA 91324-2348
Mailing address
9545 Reseda Blvd Ste 1
Northridge, CA 91324-2348
Phone (818) 886-6660
Other names 1
- CHD DENTAL CARE
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714953600000",
"number": "1376390583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9545 RESEDA BLVD STE 1",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913242348",
"telephone_number": "818-886-6660",
"fax_number": "818-886-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9545 RESEDA BLVD STE 1",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913242348",
"telephone_number": "818-886-6660",
"fax_number": "818-886-6660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NGUYEN AND MONTILLA PROFESSIONAL DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-06",
"last_updated": "2024-05-06",
"certification_date": "2024-05-04",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "NGHI",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "805-299-5430"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CHD DENTAL CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.