Dr Pauline Nguyen DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

49954 Issued in CA

Legal business name

DR PAULINE NGUYEN DDS INC

Practice address

6039 Beach Blvd
Buena Park, CA 90621-2304

Phone

(714) 994-1456

Fax

(714) 994-1530

NPI assigned

Nov 9, 2005

Organization subpart

No

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

Authorized official

Name

Pauline Nguyen, DDS

Title

Owner President

Phone

(714) 994-1456

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Santa Maria Dentistry Doing business as

Locations

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467433276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6039 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212304",
            "telephone_number": "714-994-1456",
            "fax_number": "714-994-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6039 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212304",
            "telephone_number": "714-994-1456",
            "fax_number": "714-994-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PAULINE NGUYEN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "714-994-1456",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9354001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Maria Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Dentist in California

• 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.