Active NPI
Peterson Nguyen, DMD
- Dentist
- Sunnyvale, CA
National Provider Identifier
1427740380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 113178
- Practice address
- 970 W El Camino Real Ste 1
Sunnyvale, CA 94087-1180 - Phone
- (650) 282-5555
- NPI assigned
- May 22, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 113178 | CA | Primary |
Addresses
Primary practice location
970 W El Camino Real Ste 1
Sunnyvale, CA 94087-1180
Mailing address
4246 Monet Cir
San Jose, CA 95136-2330
Phone (408) 596-0722
Other practice location 1
2929 The Villages Pkwy
San Jose, CA 95135-1442
Phone (408) 274-9554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1427740380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4246 MONET CIR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951362330",
"telephone_number": "408-596-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 W EL CAMINO REAL STE 1",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940871180",
"telephone_number": "650-282-5555"
}
],
"practiceLocations": [
{
"address_1": "2929 The Villages Pkwy",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951351442",
"country_code": "US",
"telephone_number": "408-274-9554",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "PETERSON",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-22",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "113178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.