Tiffany Nguyen, DDS, MS

Primary specialty

DentistTaxonomy code 122300000X

License

63795 Issued in CA

Practice address

1738 Aviation Blvd
Redondo Beach, CA 90278-2810

Phone

(310) 372-4900

NPI assigned

Aug 12, 2014

Last updated

Aug 12, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James a Nguyen DDS a Dental Corp

  • General Practice Dentistry
  • Redondo Beach, CA
  • NPI 1124244348
  NPD (past)

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1467861732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 AVIATION BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 AVIATION BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782810",
            "telephone_number": "310-372-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63795",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63795",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Le Nguyen, O.D.
• Khanh Truong Nguyen, M.D.
• Khoi Ngoc Nguyen, DDS
• Loan Ngoc Nguyen, PHARM D
• Mitchell Nguyen
• Trung Nguyen
• Molly Beth Nickerson, MSW, ACSW
• Kimberly Ruth Nicolson, DSW, LCSW
• Diana Flavia Nicorici, NP
• Kevin B Niehaus, MSE, PSYD, LPCC,

• Dentist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.