Organization Active NPI

Khuyen Nguyen PC Dba the Gleamery

  • Dentist
  • Santa Monica, CA
National Provider Identifier
1487521431
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KHUYEN NGUYEN PC DBA THE GLEAMERY
Practice address
2903 Lincoln Blvd Ste 104
Santa Monica, CA 90405-5793
Phone
(213) 326-1789
NPI assigned
Oct 22, 2025
Organization subpart
Yes
Parent organization
KHUYEN NGUYEN PC DBA THE GLEAMERYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Sally Orr
Title
Studio Manager
Phone
(213) 326-1789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2903 Lincoln Blvd Ste 104
Santa Monica, CA 90405-5793

Mailing address

2903 Lincoln Blvd Ste 104
Santa Monica, CA 90405-5793

National Provider Directory

National Provider Directory
Tax ID family
Khuyen Nguyen PC Dba the Gleamery2 organizations share this tax ID, including this one
Part of
Khuyen Nguyen PC Dba the Gleamery

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1487521431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 LINCOLN BLVD STE 104",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 LINCOLN BLVD STE 104",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055793",
            "telephone_number": "213-326-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHUYEN NGUYEN PC DBA THE GLEAMERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KHUYEN NGUYEN PC DBA THE GLEAMERY",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "STUDIO MANAGER",
        "authorized_official_telephone_number": "213-326-1789"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.