Organization Active NPI

Tin-Hoang Nguyen D.D.S., Inc.

  • General Practice Dentistry
  • San Marino, CA
National Provider Identifier
1417073909
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31090 Issued in CA
Legal business name
TIN-HOANG NGUYEN D.D.S., INC.
Practice address
2920 Huntington Dr
Suite 238
San Marino, CA 91108-2252
Phone
(626) 286-9211
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tin Hoang Nguyen, D.D.S.
Title
President
Phone
(626) 286-9211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 31090 CA Primary

Addresses

Primary practice location

2920 Huntington Dr
Suite 238
San Marino, CA 91108-2252

Mailing address

2920 Huntington Dr
Suite 238
San Marino, CA 91108-2252
Phone (626) 286-9211

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417073909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 HUNTINGTON DR",
            "address_2": "SUITE 238",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082252",
            "telephone_number": "626-286-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 HUNTINGTON DR",
            "address_2": "SUITE 238",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082252",
            "telephone_number": "626-286-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIN-HOANG NGUYEN D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TIN HOANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-286-9211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.