Active NPI
Chinh Truong Nguyen, D.D.S.
- Dentist
- Bakersfield, CA
National Provider Identifier
1487783163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 44963
- Practice address
- 2520 H St
Suite B
Bakersfield, CA 93301-2800 - Phone
- (661) 324-1200
- Fax
- (661) 324-5858
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 44963 | CA | Primary |
Addresses
Primary practice location
2520 H St
Suite B
Bakersfield, CA 93301-2800
Mailing address
2520 H Street
Suite B
Bakersfield, CA 93301-2800
Phone (661) 665-9336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44963 | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160308002714 | CA | Order and Referring Only - Dentist | 1254637887 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Family Dentistry | Past | Accepting new patients | |
| Chinh Nguyen DDS, a Professional Dental Corporation | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Bakersfield, CA
- NPI 1245503382
-
- Dental Clinic/Center
- Bakersfield, CA
- NPI 1124282397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292198400000",
"number": "1487783163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 H STREET",
"address_2": "SUITE B",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933012800",
"telephone_number": "661-665-9336",
"fax_number": "661-631-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 H ST",
"address_2": "SUITE B",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933012800",
"telephone_number": "661-324-1200",
"fax_number": "661-324-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "CHINH",
"middle_name": "TRUONG",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2010-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "44963",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "44963",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.