Jonathan Nguyen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43212 Issued in CA

Practice address

13112 Newport Ave Ste I
Tustin, CA 92780-3440

Phone

(714) 734-8889

Fax

(714) 734-8887

NPI assigned

Nov 30, 2016

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

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.

• Newhope Dental Inc.

  • Dentist
  • Tustin, CA
  • NPI 1487849899
  NPD (past) Authorized official

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1417490996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 N CHANDLER RANCH RD",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928694504",
            "telephone_number": "714-333-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13112 NEWPORT AVE STE I",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803440",
            "telephone_number": "714-734-8889",
            "fax_number": "714-734-8887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13662 Newport Ave",
            "address_2": "suite K",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927807814",
            "country_code": "US",
            "telephone_number": "714-734-8889",
            "fax_number": "714-734-8887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JONATHAN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-30",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "43212",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Nguyen, D.D.S.
• Hien Nguyen, LCSW
• James Khiem Nguyen
• Jennifer Kim-Phuong Nguyen
• Jessica Hong Nguyen
• Kaitlyn Lien Nguyen, PA
• Kalena Nguyen, PHARM.D.
• Katie Nguyen
• Kaylee Nguyen
• Kellie Hang Nguyen, FNP-C

• General Practice Dentistry in Tustin, CA
• Providers in Tustin, 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 Dec 5, 2018; 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.