Peter B. Nguyen, DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47536 Issued in CA

Legal business name

PETER B. NGUYEN, DDS, INC

Doing business as

Family Dental Practice of San Marcos

Practice address

250 S Pacific St
Suite #100
San Marcos, CA 92078-2476

Phone

(760) 597-9999

Fax

(760) 798-7960

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peter Ba Duc Nguyen, DDSNPI 1720118920

Title

Dentist

Phone

(760) 597-9999

Specialties & licenses 1

Addresses

Other names 1

• Family Dental Practice of San Marcos Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter B Nguyen, DDS

  • Dentist
  • San Marcos, CA
  • NPI 1720118920
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1497870067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S PACIFIC ST",
            "address_2": "SUITE #100",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782476",
            "telephone_number": "760-597-9999",
            "fax_number": "760-798-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S PACIFIC ST",
            "address_2": "SUITE #100",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782476",
            "telephone_number": "760-597-9999",
            "fax_number": "760-798-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER B. NGUYEN, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "BA DUC",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "760-597-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Practice of San Marcos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Perez
• Donald Perry, PT
• Linda Perry, M.P. T.
• Maile Pesarillo
• Karen Lilyan Peschke, O.D.
• Cyntrea Peters
• M J Peters, M.D
• Kaitlyn Peterson
• Petrova Dental Corporation
• Natalia Petrova, DMD

• General Practice Dentistry in San Marcos, CA
• Providers in San Marcos, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.