Active NPI
Jenny Mai-Anh Vuong Nguyen, DMD
- Dentist
- Anaheim, CA
National Provider Identifier
1457098519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 107410
- Practice address
- 1734 E Banyan Ave
Anaheim, CA 92805-1601 - Phone
- (714) 717-8925
- NPI assigned
- May 18, 2022
- Sex
- Female
- 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 | 107410 | CA | Primary |
Addresses
Primary practice location
1734 E Banyan Ave
Anaheim, CA 92805-1601
Mailing address
1734 E Banyan Ave
Anaheim, CA 92805-1601
Other names 1
- Jenny Nguyen
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
| License | State | Type | Specialty |
|---|---|---|---|
| 107410 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1457098519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1734 E BANYAN AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928051601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1734 E BANYAN AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928051601",
"telephone_number": "714-717-8925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JENNY MAI-ANH VUONG",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-18",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "107410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNY",
"last_name": "NGUYEN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.