Individual provider Active NPI

Chinh Truong Nguyen, D.D.S.

  • Dentist
  • Bakersfield, CA
National Provider Identifier
1487783163
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44963 Issued in CA
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

Updated by the provider on Dec 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
44963OtherCASTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160308002714 CA Order and Referring Only - DentistPractitioner - Dentist 1254637887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.