Phuong Thi Nguyen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

103373 Issued in CA

Practice address

20195 Pingree Way
Yorba Linda, CA 92887-3256

Phone

(617) 963-9887

NPI assigned

Aug 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1538568522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20195 PINGREE WAY",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873256",
            "telephone_number": "617-963-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20195 PINGREE WAY",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873256",
            "telephone_number": "617-963-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHUONG",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028540",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duyen T Nguyen
• Jacqueline Nguyen
• Johnny Nguyen, PT, DPT
• Kim Hong Nguyen, D.M.D
• Matthew Nguyen, DDS
• Tracy Truc Nguyen
• Kristen Elizabeth Nichols
• Nicole Garcia Medical, PC (Yorba Linda Superior Physical Medicine)
• Nicole Myers, Licensed Marriage and Family Therapist, Inc. (Nicole Myers, Licensed Marriage and Family Therapist, P.C.)
• Julianne Martini Nienas, OT

• General Practice Dentistry in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• General Practice Dentistry in California

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