Active NPI
Dat Quoc Nguyen, D.D.S.
- General Practice Dentistry
- Rosemead, CA
National Provider Identifier
1477654036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 46660
- Practice address
- 9008 Garvey Ave.
Ste B and C
Rosemead, CA 91770-3360 - Phone
- (626) 280-6733
- Fax
- (626) 280-7906
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 46660 | CA | Primary |
Addresses
Primary practice location
9008 Garvey Ave.
Ste B and C
Rosemead, CA 91770-3360
Mailing address
14282 Brookhurst St Ste 6
Garden Grove, CA 92843-4663
Phone (714) 531-6487
Other practice location 1
14282 Brookhurst St Ste 6
Garden Grove, CA 92843-4663
Phone (714) 531-6487
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B46660-01 | Other | CA | DENTI-CAL PROVIDER NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46660 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dat Quoc Nguyen D.D.S., Inc. | General Practice | Past | Accepting new patients |
| Dat Nguyen D.D.S. | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Rosemead, CA
- NPI 1730206186
-
- General Practice Dentistry
- Rosemead, CA
- NPI 1639317795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1477654036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14282 BROOKHURST ST STE 6",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928434663",
"telephone_number": "714-531-6487",
"fax_number": "714-531-6488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9008 GARVEY AVE.",
"address_2": "STE B AND C",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917703360",
"telephone_number": "626-280-6733",
"fax_number": "626-280-7906"
}
],
"practiceLocations": [
{
"address_1": "14282 Brookhurst St Ste 6",
"address_purpose": "LOCATION",
"city": "Garden Grove",
"state": "CA",
"postal_code": "928434663",
"country_code": "US",
"telephone_number": "714-531-6487",
"fax_number": "714-531-6488",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "DAT",
"middle_name": "QUOC",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "46660",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI-CAL PROVIDER NUMBER",
"identifier": "B46660-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rosemead, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.