Individual provider Active NPI

Tu Minh Nguyen, D.D.S

  • General Practice Dentistry
  • Northridge, CA
National Provider Identifier
1629278569
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46904 Issued in CA
Practice address
8962 Corbin Ave
Northridge, CA 91324-3311
Phone
(818) 993-1369
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 46904 CA Primary

Addresses

Primary practice location

8962 Corbin Ave
Northridge, CA 91324-3311

Mailing address

8962 Corbin Ave
Northridge, CA 91324-3311
Phone (818) 993-1369

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

LicenseStateTypeSpecialty
46904CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tu Minh Nguyen, a Dental Corporation General Practice CurrentSince Oct 9, 2022 Accepting new patients

Locations

9929 Topanga Canyon Blvd
Chatsworth, CA 91311
Phone (818) 818-5123

8962 Corbin Ave
Northridge, CA 91324
Phone (818) 993-1369

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.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1629278569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8962 CORBIN AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243311",
            "telephone_number": "818-993-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8962 CORBIN AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243311",
            "telephone_number": "818-993-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TU MINH",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.