Active NPI
Khoi Phan Nguyen, DDS
- Dentist
- Santa Ana, CA
National Provider Identifier
1487864856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401411474
- Practice address
- 2708 Westminster Ave
#100
Santa Ana, CA 92706-2133 - Phone
- (714) 554-0700
- NPI assigned
- May 23, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401411474 | VA | Primary |
| Dentist | 122300000X | 57821 | CA |
Addresses
Primary practice location
2708 Westminster Ave
#100
Santa Ana, CA 92706-2133
Mailing address
2708 Westminster Ave
#100
Santa Ana, CA 92706-2133
Phone (714) 554-0700
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 |
|---|---|---|---|
| 57821 | CA | MD | Dentist |
| 0401411474 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Khoi P Nguyen,DSS, Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Santa Ana, CA
- NPI 1144559972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259798400000",
"number": "1487864856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2708 WESTMINSTER AVE",
"address_2": "#100",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927062133",
"telephone_number": "714-554-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 WESTMINSTER AVE",
"address_2": "#100",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927062133",
"telephone_number": "714-554-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KHOI",
"middle_name": "PHAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2009-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401411474",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "57821",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.