Organization Active NPI

B. Nguyen Dental Corporation

Doing business as Walnut Dental Group and Orthodontics

  • Dentist
  • Irvine, CA
National Provider Identifier
1528163441
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49784 Issued in CA
Legal business name
B. NGUYEN DENTAL CORPORATION
Doing business as
Walnut Dental Group and Orthodontics
Practice address
14427 Culver Dr
Irvine, CA 92604-0305
Phone
(949) 733-0486
Fax
(949) 733-0489
NPI assigned
Sep 14, 2006
Last updated
Mar 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Dr. Bach X Nguyen, DDS
Title
Owner DDS
Phone
(949) 733-0486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 49784 CA Primary

Addresses

Primary practice location

14427 Culver Dr
Irvine, CA 92604-0305

Mailing address

2860 Michelle Drive
2ND Floor
Irvine, CA 92606-1009
Phone (714) 368-2077

Other names 1

  • Walnut Dental Group and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

14427 Culver Dr
Irvine, CA 92604
Phone (949) 732-0620

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1528163441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE DRIVE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-368-2077",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14427 CULVER DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926040305",
            "telephone_number": "949-733-0486",
            "fax_number": "949-733-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B. NGUYEN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "BACH",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "OWNER DDS",
        "authorized_official_telephone_number": "949-733-0486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Dental Group and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.