Organization Active NPI

Timothy Thoai Nguyen D.D.S., Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Milpitas, CA
National Provider Identifier
1417306440
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
40381 Issued in CA
Legal business name
TIMOTHY THOAI NGUYEN D.D.S., INC.
Practice address
991 Montague Expy
Suite 102
Milpitas, CA 95035-6809
Phone
(408) 946-6666
Fax
(408) 935-8805
NPI assigned
Jun 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Dr. Timothy Thoai Nguyen, DDSNPI 1003019365
Title
Owner/Dentist
Phone
(408) 946-6666

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 40381 CA Primary

Addresses

Primary practice location

991 Montague Expy
Suite 102
Milpitas, CA 95035-6809

Mailing address

991 Montague Expy
Suite 102
Milpitas, CA 95035-6809
Phone (408) 946-6666

Other names 1

  • Oral Surgery & Implant Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Oral Surgery and Implant Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

991 Montague Expy
Ste 102
Milpitas, CA 95035
Phone (408) 946-6666

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1417306440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 MONTAGUE EXPY",
            "address_2": "SUITE 102",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356809",
            "telephone_number": "408-946-6666",
            "fax_number": "408-935-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 MONTAGUE EXPY",
            "address_2": "SUITE 102",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356809",
            "telephone_number": "408-946-6666",
            "fax_number": "408-935-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY THOAI NGUYEN D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "THOAI",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "408-946-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "40381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral Surgery & Implant Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.