NPIMap

Individual provider Active NPI

Theresa Hoang Nguyen, DMD

  • Dentist
  • Mission Viejo, CA
National Provider Identifier
1447869086
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
105028 Issued in CA
Practice address
22951 Los Alisos Blvd
#2
Mission Viejo, CA 92691
Phone
(949) 380-9506
NPI assigned
Jul 29, 2020
Last updated
Dec 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 105028 CA Primary

Addresses

Primary practice location

22951 Los Alisos Blvd
#2
Mission Viejo, CA 92691

Mailing address

P.O. Box 26338
Santa Ana, CA 92799
Phone (951) 733-9479

Other practice location 1

7369 Day Creek Blvd Ste F-103
Rancho Cucamonga, CA 91739-8020
Phone (909) 646-7902

Other names 1

  • Nhi Thanh Hoang Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sarvaiya Dental Corp CurrentSince Dec 18, 2022 Accepting new patients
Ghazal and Hsieh Dental Corporation Past Accepting new patients
Hsieh and Abdelkarim Dental Corporation PastSince Aug 1, 2020 Accepting new patients
Oksana Bublik DDS,a Dental Corporation PastSince Dec 18, 2022 Accepting new patients

Locations

22951 Los Alisos Blvd
Ste 2
Mission Viejo, CA 92691
Phone (949) 380-9506

Organizations & group practices 4

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": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1447869086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 26338",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92799",
            "telephone_number": "951-733-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22951 LOS ALISOS BLVD",
            "address_2": "#2",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-380-9506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7369 Day Creek Blvd Ste F-103",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917398020",
            "country_code": "US",
            "telephone_number": "909-646-7902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THERESA",
        "middle_name": "HOANG",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NHI",
            "last_name": "HOANG",
            "middle_name": "THANH",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.