Organization Active NPI

Nguyen & Phung DMD Inc

  • General Practice Dentistry
  • Orange, CA
National Provider Identifier
1386449189
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NGUYEN & PHUNG DMD INC
Practice address
574 N Tustin St Ste a
Orange, CA 92867-7612
Phone
(714) 793-8080
NPI assigned
Feb 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Christine Phung, DMD
Title
Dentist
Phone
(714) 206-0434

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

574 N Tustin St Ste a
Orange, CA 92867-7612

Mailing address

574 N Tustin St Ste a
Orange, CA 92867-7612
Phone (714) 793-8080

Other names 2

  • Healthy Smile Dentistry 2 Doing business as
  • Orange Dental and Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

574 N Tustin St
Ste A
Orange, CA 92867
Phone (714) 793-8080

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1386449189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 N TUSTIN ST STE A",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677612",
            "telephone_number": "714-793-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 N TUSTIN ST STE A",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677612",
            "telephone_number": "714-793-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN & PHUNG DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "PHUNG",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-206-0434",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Smile Dentistry 2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orange Dental and Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.