NPIMap

Organization Active NPI

Zinfandel Dental Practice

  • Dentist
  • Rancho Cordova, CA
National Provider Identifier
1457541732
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50333 Issued in CA
Legal business name
ZINFANDEL DENTAL PRACTICE
Practice address
2001 Zinfandel Dr Ste B5
Rancho Cordova, CA 95670-4265
Phone
(916) 638-5833
Fax
(916) 638-4107
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Dr. Richard Huynh Nguyen, D.M.DNPI 1417004029
Title
Owner
Phone
(916) 638-5833

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: 193400000X SINGLE SPECIALTY GROUP 122300000X 50333 CA Primary

Addresses

Primary practice location

2001 Zinfandel Dr Ste B5
Rancho Cordova, CA 95670-4265

Mailing address

2001 Zinfandel Dr Ste B5
Rancho Cordova, CA 95670-4265
Phone (916) 638-5833

Other identifiers 1

IdentifierTypeStateIssuer
G93130-01OtherCADENTI-CAL BILLING NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Zinfandel Dental Practice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2001 Zinfandel Dr
Ste B5
Rncho Cordova, CA 95670
Phone (916) 638-5833

Practitioners & affiliated clinicians

Practitioners 2

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": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1457541732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 ZINFANDEL DR STE B5",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956704265",
            "telephone_number": "916-638-5833",
            "fax_number": "916-638-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ZINFANDEL DR STE B5",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956704265",
            "telephone_number": "916-638-5833",
            "fax_number": "916-638-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZINFANDEL DENTAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "HUYNH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-638-5833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL BILLING NUMBER",
            "identifier": "G93130-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.