Organization Active NPI

Nguyen & DO Dental Corp

Doing business as Kids & Braces

  • Preferred Provider Organization
  • La Mirada, CA
National Provider Identifier
1508198615
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
46308 Issued in CA
Legal business name
NGUYEN & DO DENTAL CORP
Doing business as
Kids & Braces
Practice address
15775 Imperial Hwy
La Mirada, CA 90638-2510
Phone
(562) 943-4488
Fax
(562) 943-4422
NPI assigned
Feb 1, 2010
Last updated
Feb 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Authorized official

Name
Dr. Dan Cong Nguyen, D.D.SNPI 1255549853
Title
Orthodontist
Phone
(562) 943-4488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 46308 CA Primary

Addresses

Primary practice location

15775 Imperial Hwy
La Mirada, CA 90638-2510

Mailing address

15775 Imperial Hwy
La Mirada, CA 90638-2510
Phone (562) 943-4488

Other names 1

  • Kids & Braces Doing business as

National Provider Directory

National Provider Directory

Locations

15775 Imperial Hwy
La Mirada, CA 90638
Phone (562) 943-4488

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1508198615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15775 IMPERIAL HWY",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906382510",
            "telephone_number": "562-943-4488",
            "fax_number": "562-943-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15775 IMPERIAL HWY",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906382510",
            "telephone_number": "562-943-4488",
            "fax_number": "562-943-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN & DO DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "CONG",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "562-943-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "46308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids & Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Mirada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.