Organization Active NPI

Kimberly Nguyen, DDS, Inc.

  • Dentist
  • Fullerton, CA
National Provider Identifier
1457487589
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39191 Issued in CA
Legal business name
KIMBERLY NGUYEN, DDS, INC.
Practice address
1217 E Chapman Ave
Fullerton, CA 92831-3908
Phone
(714) 446-9075
NPI assigned
Feb 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kimberly Kim CHI Nguyen, DDSNPI 1841378429
Title
Dentist
Phone
(714) 446-9075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 39191 CA Primary

Addresses

Primary practice location

1217 E Chapman Ave
Fullerton, CA 92831-3908

Mailing address

1217 E Chapman Ave
Fullerton, CA 92831-3908
Phone (714) 446-9075

Other names 1

  • Cottage Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1217 E Chapman Ave
Fullerton, CA 92831
Phone (714) 446-9075

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457487589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 E CHAPMAN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313908",
            "telephone_number": "714-446-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 E CHAPMAN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313908",
            "telephone_number": "714-446-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY NGUYEN, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "KIM CHI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-446-9075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "39191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cottage Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.