Individual provider Active NPI

Minh B Nguyen, D.D.S.

  • General Practice Dentistry
  • Rocklin, CA
National Provider Identifier
1447390273
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45506 Issued in CA
Practice address
2221 Sunset Blvd Ste 119
Rocklin, CA 95765-4784
Phone
(916) 435-1155
Fax
(916) 435-1152
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 45506 CA Primary

Addresses

Primary practice location

2221 Sunset Blvd Ste 119
Rocklin, CA 95765-4784

Mailing address

2221 Sunset Blvd Ste 119
Rocklin, CA 95765-4784
Phone (916) 435-1155

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191031000545 CA Practitioner - Oral SurgeryPractitioner - Dentist 4587996145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
45506CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Minh B. Nguyen, DDS Current Accepting new patients

Locations

2221 Sunset Blvd
Ste 119
Rocklin, CA 95765
Phone (916) 435-1155

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447390273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 SUNSET BLVD STE 119",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654784",
            "telephone_number": "916-435-1155",
            "fax_number": "916-435-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 SUNSET BLVD STE 119",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654784",
            "telephone_number": "916-435-1155",
            "fax_number": "916-435-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MINH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

Verify at the official NPI Registry.