Individual provider Active NPI

Dexter Nguyen, DDS

  • General Practice Dentistry
  • Temecula, CA
National Provider Identifier
1447779327
Registry record updated Sep 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
101640 Issued in CA
Practice address
41785 Nicole LN
Temecula, CA 92591-3873
Phone
(858) 255-9770
NPI assigned
Sep 12, 2017
Last updated
Sep 12, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2017

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 101640 CA Primary

Addresses

Primary practice location

41785 Nicole LN
Temecula, CA 92591-3873

Mailing address

8228 Torrey Gardens PL
San Diego, CA 92129-4605

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
I20210331002154 CA Practitioner - Dentist 2163839549 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101640CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hoang, Nguyen, & Lu Dental Corp CurrentSince Dec 22, 2020 Accepting new patients
Penasquitos Dental General Practice PastSince Dec 22, 2020 Accepting new patients

Locations

4750 Oceanside Blvd
Ste A15
Oceanside, CA 92056
Phone (760) 466-0076

9912 Carmel Mountain Rd
Ste B
San Diego, CA 92129
Phone (858) 538-9182

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505174400000",
    "number": "1447779327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8228 TORREY GARDENS PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921294605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41785 NICOLE LN",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913873",
            "telephone_number": "858-255-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DEXTER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-12",
        "last_updated": "2017-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.