Active NPI
Heather Catherine Nguyen
- Dentist
- Encino, CA
National Provider Identifier
1629792957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 107687
- Practice address
- 16830 Ventura Blvd
Encino, CA 91436-1707 - Phone
- (818) 876-2838
- NPI assigned
- Sep 29, 2022
- Last updated
- Sep 27, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 107687 | CA | Primary |
Addresses
Primary practice location
16830 Ventura Blvd
Encino, CA 91436-1707
Mailing address
5967 Woodland View Dr
Woodland Hills, CA 91367-1075
Phone (818) 876-2838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230418002641 | CA | Order and Referring Only - Dentist | 3779958004 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1629792957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5967 WOODLAND VIEW DR",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913671075",
"telephone_number": "818-876-2838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16830 VENTURA BLVD",
"city": "ENCINO",
"state": "CA",
"postal_code": "914361707",
"telephone_number": "818-876-2838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "HEATHER",
"middle_name": "CATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-29",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "107687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.