Lam Nhat Nguyen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS105958 Issued in CA

Practice address

3170 US Highway 50 Ste 3
South Lake Tahoe, CA 96150-9213

Phone

(530) 577-8080

NPI assigned

Aug 7, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Siskiyou Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Grants Pass, OR
  • NPI 1205002136

  General Practice

  NPD (past)

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1417366014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 US HIGHWAY 50 STE 3",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961509213",
            "telephone_number": "530-577-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 US HIGHWAY 50 STE 3",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961509213",
            "telephone_number": "530-577-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LAM",
        "middle_name": "NHAT",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-07",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D10122",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS105958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Lawrence Naccarato, D.C.
• Michael Neiger, PT
• Megan Seleine Neumann, LCSW
• Nancy NG, PHYSICAL THERAPIST
• Anh T Ngo, RPH
• Shane David Nibley
• Nicole H. Buell, D.D.S. Inc.
• Nicole M Jane, DDS, Ms, PC
• Stepanie Ann Niederman, L.AC., DIPL. OF ACUP
• Elisabeth Nigrini, MD

• General Practice Dentistry in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.