Active NPI
Hannah Nguyen, DDS
- Dentist
- Garden Grove, CA
National Provider Identifier
1417329277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 65102
- Practice address
- 13912 Magnolia St
Garden Grove, CA 92844-2725 - Phone
- (714) 487-9387
- NPI assigned
- Oct 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 65102 | CA | Primary |
Addresses
Primary practice location
13912 Magnolia St
Garden Grove, CA 92844-2725
Mailing address
13912 Magnolia St
Garden Grove, CA 92844-2725
Phone (714) 487-9387
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160503001848 | CA | Order and Referring Only - Dentist | 0446559025 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445299200000",
"number": "1417329277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13912 MAGNOLIA ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928442725",
"telephone_number": "714-487-9387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13912 MAGNOLIA ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928442725",
"telephone_number": "714-487-9387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "HANNAH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-20",
"last_updated": "2015-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "65102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.