Organization Active NPI

Nguyen and Montilla Professional Dental Corporation

  • General Practice Dentistry
  • Northridge, CA
National Provider Identifier
1376390583
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on May 6, 2024

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.