Individual provider Active NPI

Mai CHI Thi Nguyen, DH

  • Dental Hygienist
  • San Jose, CA
National Provider Identifier
1447794029
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
45532 Issued in CA
Practice address
1855 Alum Rock Ave Ste B
San Jose, CA 95116-1398
Phone
(408) 254-1995
NPI assigned
Dec 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 45532 CA Primary

Addresses

Primary practice location

1855 Alum Rock Ave Ste B
San Jose, CA 95116-1398

Mailing address

1855 Alum Rock Ave Ste B
San Jose, CA 95116-1398
Phone (408) 254-1995

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

State licenses

LicenseStateTypeSpecialty
45532CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
QT Huynh Dental Corporation CurrentSince Dec 15, 2024 Accepting new patients

Locations

1855 Alum Rock Ave
Ste B
San Jose, CA 95116
Phone (408) 254-1995

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": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1447794029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 ALUM ROCK AVE STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161398",
            "telephone_number": "408-254-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 ALUM ROCK AVE STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161398",
            "telephone_number": "408-254-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MAI CHI THI",
        "credential": "DH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "45532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.