Individual provider Active NPI

Huong Thien Nguyen, D.D.S

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1407053390
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46901 Issued in CA
Practice address
316 N Harbor Blvd
Santa Ana, CA 92703-3339
Phone
(714) 554-9894
Fax
(714) 554-9658
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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 46901 CA Primary

Addresses

Primary practice location

316 N Harbor Blvd
Santa Ana, CA 92703-3339

Mailing address

316 N Harbor Blvd
Santa Ana, CA 92703-3339
Phone (714) 554-9894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160420001231 CA Order and Referring Only - DentistPractitioner - Dentist 9436457736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46901CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Huong Thien Nguyen DDS Inc General Practice Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1407053390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 N HARBOR BLVD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033339",
            "telephone_number": "714-554-9894",
            "fax_number": "714-554-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N HARBOR BLVD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033339",
            "telephone_number": "714-554-9894",
            "fax_number": "714-554-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HUONG",
        "middle_name": "THIEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.