Individual provider Active NPI

My Linh Thi Nguyen, D.D.S

  • General Practice Dentistry
  • La Puente, CA
National Provider Identifier
1417125188
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44043 Issued in CA
Practice address
1840 N Hacienda Blvd Ste 5
La Puente, CA 91744-1143
Phone
(626) 918-2833
Fax
(626) 931-2212
NPI assigned
Feb 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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 44043 CA Primary

Addresses

Primary practice location

1840 N Hacienda Blvd Ste 5
La Puente, CA 91744-1143

Mailing address

1840 N Hacienda Blvd Ste 5
La Puente, CA 91744-1143
Phone (626) 918-2833

Other identifiers 1

IdentifierTypeStateIssuer
G91872-01OtherCADENTI-CAL

Other names 1

  • Dr. My Linh Thi Nguyen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44043CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
My Linh Thi Nguyen DDS Inc 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": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1417125188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 N HACIENDA BLVD STE 5",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441143",
            "telephone_number": "626-918-2833",
            "fax_number": "626-931-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 N HACIENDA BLVD STE 5",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441143",
            "telephone_number": "626-918-2833",
            "fax_number": "626-931-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MY LINH",
        "middle_name": "THI",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G91872-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MY LINH",
            "last_name": "NGUYEN",
            "middle_name": "THI",
            "prefix": "DR.",
            "credential": "D.D.S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Puente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.