NPIMap

Organization Active NPI

Jaime a Nguyen DDS a Professional Dental Corporation

  • Dentist
  • Garden Grove, CA
National Provider Identifier
1508256454
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47396 Issued in CA
Legal business name
JAIME A NGUYEN DDS A PROFESSIONAL DENTAL CORPORATION
Practice address
9871 Chapman Ave
Garden Grove, CA 92841-2710
Phone
(714) 534-7290
Fax
(714) 534-7542
NPI assigned
Jan 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Authorized official

Name
Jaime A Nguyen, D.D.SNPI 1174623615
Title
Dentist
Phone
(714) 534-7290

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 47396 CA Primary

Addresses

Primary practice location

9871 Chapman Ave
Garden Grove, CA 92841-2710

Mailing address

9871 Chapman Ave
Garden Grove, CA 92841-2710
Phone (714) 534-7290

National Provider Directory

National Provider Directory

Locations

9871 Chapman Ave
Garden Grove, CA 92841
Phone (714) 534-7290

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1508256454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9871 CHAPMAN AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928412710",
            "telephone_number": "714-534-7290",
            "fax_number": "714-534-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9871 CHAPMAN AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928412710",
            "telephone_number": "714-534-7290",
            "fax_number": "714-534-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME A NGUYEN DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-534-7290",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.