Organization Active NPI

Khoa Nguyen, DDS, Inc.

Doing business as Mint Dental Care

  • Dental Clinic/Center
  • Sunnyvale, CA
National Provider Identifier
1407349616
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KHOA NGUYEN, DDS, INC.
Doing business as
Mint Dental Care
Practice address
927 E Arques Ave # 171
Sunnyvale, CA 94085-4531
Phone
(408) 400-3133
Fax
(408) 400-3134
NPI assigned
Jun 12, 2018
Last updated
Jun 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Authorized official

Name
Dr. Khoa Nguyen, DDSNPI 1639516982
Title
Owner
Phone
(669) 235-6287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

927 E Arques Ave # 171
Sunnyvale, CA 94085-4531

Mailing address

927 E Arques Ave # 171
Sunnyvale, CA 94085-4531
Phone (408) 400-3133

Other names 1

  • Mint Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

927 E Arques Ave
#171
Sunnyvale, CA 94085
Phone (408) 400-3133

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1407349616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 E ARQUES AVE # 171",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940854531",
            "telephone_number": "408-400-3133",
            "fax_number": "408-400-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 E ARQUES AVE # 171",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940854531",
            "telephone_number": "408-400-3133",
            "fax_number": "408-400-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHOA NGUYEN, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KHOA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "669-235-6287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mint Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.