Active NPI
Anh Quynh DO, DDS, MS
- General Practice Dentistry
- Ventura, CA
National Provider Identifier
1467628107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 56938
- Practice address
- 200 S Wells Rd Ste 225
Ventura, CA 93004-1382 - Phone
- (805) 659-0560
- Fax
- (805) 659-9959
- NPI assigned
- May 2, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 56938 | CA | Primary |
Addresses
Primary practice location
200 S Wells Rd Ste 225
Ventura, CA 93004-1382
Mailing address
200 S Wells Rd Ste 225
Ventura, CA 93004-1382
Phone (805) 659-0560
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56938 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363737600000",
"number": "1467628107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S WELLS RD STE 225",
"city": "VENTURA",
"state": "CA",
"postal_code": "930041382",
"telephone_number": "805-659-0560",
"fax_number": "805-659-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S WELLS RD STE 225",
"city": "VENTURA",
"state": "CA",
"postal_code": "930041382",
"telephone_number": "805-659-0560",
"fax_number": "805-659-9959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "ANH",
"middle_name": "QUYNH",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-02",
"last_updated": "2013-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "56938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.