Organization Active NPI

Thomas J Nguyen DDS

  • Dentist
  • Cameron Park, CA
National Provider Identifier
1508394982
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54896 Issued in CA
Legal business name
THOMAS J NGUYEN DDS
Doing business as
Thomas J Nguyen DDS
Practice address
3420 Coach LN Ste 6
Cameron Park, CA 95682-8406
Phone
(530) 677-0203
Fax
(530) 677-6215
NPI assigned
May 30, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Thomas James Nguyen, DDS
Title
Owner
Phone
(916) 320-8435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 54896 CA Primary

Addresses

Primary practice location

3420 Coach LN Ste 6
Cameron Park, CA 95682-8406

Mailing address

3420 Coach LN Ste 6
Cameron Park, CA 95682-8406
Phone (530) 677-0203

Other names 1

  • Thomas J Nguyen DDS Doing business as

National Provider Directory

National Provider Directory

Locations

3420 Coach Ln
Ste 6
Cameron Park, CA 95682
Phone (530) 677-0203

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": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508394982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 COACH LN STE 6",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828406",
            "telephone_number": "530-677-0203",
            "fax_number": "530-677-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 COACH LN STE 6",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828406",
            "telephone_number": "530-677-0203",
            "fax_number": "530-677-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J NGUYEN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-320-8435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas J Nguyen DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cameron Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.