Active NPI
Hanh Thi Nguyen, DDS
- Dentist
- Citrus Heights, CA
National Provider Identifier
1508999400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 62051
- Practice address
- 6406 Sunrise Blvd
Citrus Heights, CA 95610-5992 - Phone
- (916) 727-1880
- Fax
- (916) 727-1888
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 21052 | OH | |
| Dentist | 122300000X | 62051 | CA | Primary |
Addresses
Primary practice location
6406 Sunrise Blvd
Citrus Heights, CA 95610-5992
Mailing address
809 Cristina CT
Folsom, CA 95630-7759
Phone (916) 990-7618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160330001406 | CA | Order and Referring Only - Oral Surgery | 6709183197 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62051 | CA | MD | Dentist |
| 21052 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455667200000",
"number": "1508999400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 CRISTINA CT",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956307759",
"telephone_number": "916-990-7618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6406 SUNRISE BLVD",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956105992",
"telephone_number": "916-727-1880",
"fax_number": "916-727-1888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "HANH",
"middle_name": "THI",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2016-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "21052",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "62051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Citrus Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.