NPIMap

Organization Active NPI

Douglas Nguyen, DDS, a Professional Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Westminster, CA
National Provider Identifier
1568683266
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
40970 Issued in CA
Legal business name
DOUGLAS NGUYEN, DDS, A PROFESSIONAL CORPORATION
Practice address
9600 Bolsa Ave
Suite E
Westminster, CA 92683
Phone
(714) 839-9800
Fax
(714) 839-9894
NPI assigned
May 1, 2007
Last updated
Sep 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Mr. Douglas Duc Tien Nguyen, DDSNPI 1902025919
Title
Ceo
Phone
(714) 839-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 40970 CA Primary

Addresses

Primary practice location

9600 Bolsa Ave
Suite E
Westminster, CA 92683

Mailing address

9600 Bolsa Ave
Suite E
Westminster, CA 92683
Phone (714) 839-9800

Other identifiers 4

IdentifierTypeStateIssuer
B40970-01OtherCADENTI-CAL BILLING PROVIDER NUMBER
D40970OtherCADENTI-CAL RENDERING PROVIDER NUMBER
CGP 166519OtherCACALIFORNIA CHILDREN'S SERVICES BILLING PROVIDER
909964OtherCAUNITED CONCORDIA PPO DENTAL PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

9600 Bolsa Ave
Ste E
Westminster, CA 92683
Phone (714) 839-9800

Practitioners & affiliated clinicians

Practitioners 2

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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1568683266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 BOLSA AVE",
            "address_2": "SUITE E",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "92683",
            "telephone_number": "714-839-9800",
            "fax_number": "714-839-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 BOLSA AVE",
            "address_2": "SUITE E",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "92683",
            "telephone_number": "714-839-9800",
            "fax_number": "714-839-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS NGUYEN, DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "DUC TIEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-839-9800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "40970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL BILLING PROVIDER NUMBER",
            "identifier": "B40970-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL RENDERING PROVIDER NUMBER",
            "identifier": "D40970",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA CHILDREN'S SERVICES BILLING PROVIDER",
            "identifier": "CGP 166519",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PPO DENTAL PROVIDER NUMBER",
            "identifier": "909964",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.