Active NPI
Minh CHI Nguyen, DMD
- General Practice Dentistry
- Hacienda Heights, CA
National Provider Identifier
1548837164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 106195
- Practice address
- 17160 Colima Rd Ste C
Hacienda Heights, CA 91745-6785 - Phone
- (162) 658-1787
- NPI assigned
- Jun 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 106195 | CA | Primary |
Addresses
Primary practice location
17160 Colima Rd Ste C
Hacienda Heights, CA 91745-6785
Mailing address
2818 Burgundy TRL
Rowlett, TX 75088-6728
Phone (714) 363-7500
Other practice location 1
7540 Orangethorpe Ave Ste A1
Buena Park, CA 90621-3458
Phone (714) 576-2540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106195 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swati Shetty Dental Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Buena Park, CA
- NPI 1023515558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1548837164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2818 BURGUNDY TRL",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750886728",
"telephone_number": "714-363-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17160 COLIMA RD STE C",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917456785",
"telephone_number": "162-658-1787"
}
],
"practiceLocations": [
{
"address_1": "7540 Orangethorpe Ave Ste A1",
"address_purpose": "LOCATION",
"city": "Buena Park",
"state": "CA",
"postal_code": "906213458",
"country_code": "US",
"telephone_number": "714-576-2540",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "MINH CHI",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-10",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "106195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hacienda Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.