Active NPI
Khoa Phuong Nguyen, D.D.S.
- General Practice Dentistry
- Sunnyvale, CA
National Provider Identifier
1639516982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 100767
- Practice address
- 927 E Arques Ave # 171
Sunnyvale, CA 94085 - Phone
- (408) 400-3133
- Fax
- (408) 400-3134
- NPI assigned
- May 28, 2013
- 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 | 100767 | CA | Primary |
Addresses
Primary practice location
927 E Arques Ave # 171
Sunnyvale, CA 94085
Mailing address
927 E Arques Ave # 171
Sunnyvale, CA 94085-4531
Phone (408) 400-3133
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Khoa Nguyen, DDS, Inc. | 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.
-
- Dental Clinic/Center
- Sunnyvale, CA
- NPI 1407349616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1639516982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 E ARQUES AVE # 171",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940854531",
"telephone_number": "408-400-3133",
"fax_number": "408-400-3134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 E ARQUES AVE # 171",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "94085",
"telephone_number": "408-400-3133",
"fax_number": "408-400-3134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KHOA",
"middle_name": "PHUONG",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-28",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "100767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.