Krystal Nguyen D.M.D., Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KRYSTAL NGUYEN D.M.D., INC.

Doing business as

Krystal Smiles Dental

Practice address

181 E 18TH St Ste a
Costa Mesa, CA 92627-3069

Phone

(714) 725-6129

NPI assigned

Aug 5, 2022

Last updated

Aug 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Krystal NguyenNPI 1558733923

Title

Owner

Phone

(714) 725-6129

Specialties & licenses 1

Addresses

Other names 1

• Krystal Smiles Dental 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, and the practitioner matching its NPPES authorized official.

• Krystal Nhakhanh Nguyen, D.M.D.

  • General Practice Dentistry
  • Santa Ana, CA
  • NPI 1558733923
  NPD Authorized official

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1518694868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S MOUNTAIN VIEW ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927042151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 E 18TH ST STE A",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273069",
            "telephone_number": "714-725-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRYSTAL NGUYEN D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-725-6129"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Krystal Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin Green (CA Speech Therapy)
• Kristin Pelinka, M.D., Inc.
• Kristine Lomas Nursing Inc (Solene Psychiatry and Wellness)
• Antonela Kroqi
• Michael L Krychman, MD
• Julie Ku, DDS
• Tamara Lynn Kubiak, LMFT
• Paul R Kuhn, M.D.
• Jacqueline Kulick
• Randall David Kunert, DDS

• Dental Clinic/Center in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.