Mia Thanh Nguyen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106528 Issued in CA

Practice address

2380 Monument Blvd Ste F
Pleasant Hill, CA 94523-3972

Phone

(925) 363-4455

NPI assigned

Jul 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eva Bender Dental Corporation

  dba Pleasant Hills Smiles Dental Group

  • General Practice Dentistry
  • Pleasant Hill, CA
  • NPI 1639465594
  NPD (past)

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1427620160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 22ND ST APT 431",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941073965",
            "telephone_number": "408-772-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 MONUMENT BLVD STE F",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233972",
            "telephone_number": "925-363-4455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4840 Tuscany Cir",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951352348",
            "country_code": "US",
            "telephone_number": "408-772-9337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MIA",
        "middle_name": "THANH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neurology Medical Group of Diablo Valley Inc
• New Directions for Young Adults - California
• Jennifer Newfield, LCSW
• Ellen G Newman, PHD MFT
• Sophia Newton
• Myhoang P Nguyen, M.D.
• Tam Nguyen, D.C
• Tisha Evette Nichols
• Nicolle Napier-Ionascu PSYD, a Psychological Corporation (Diablo Valley Neuropsychology)
• Night Owl Pediatrics, Inc

• General Practice Dentistry in Pleasant Hill, CA
• Providers in Pleasant Hill, 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 Jul 13, 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.