Khuong Nguyen, DDS a Professional Dental Corporation

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

44965 Issued in CA

Legal business name

KHUONG NGUYEN, DDS A PROFESSIONAL DENTAL CORPORATION

Practice address

2780 Cardinal Rd Ste a
San Diego, CA 92123-3354

Phone

(858) 650-0838

Fax

(858) 650-0836

NPI assigned

Jun 4, 2013

Last updated

Jun 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Khuong Huu Nguyen, D.D.S

Title

Owner

Phone

(858) 650-0838

Specialties & licenses 1

Addresses

Other names 1

• Clairemont Pediatric Dental Other name

Locations

Practitioners 1

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.

• Khoung Huu Nguyen, DDS

  • Pediatric Dentistry
  • San Diego, CA
  • NPI 1174675078
  NPD (past)

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1639517394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 CARDINAL RD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233354",
            "telephone_number": "858-650-0838",
            "fax_number": "858-650-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 CARDINAL RD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233354",
            "telephone_number": "858-650-0838",
            "fax_number": "858-650-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHUONG NGUYEN, DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KHUONG",
        "authorized_official_middle_name": "HUU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-650-0838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "44965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clairemont Pediatric Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joy Khoury, MS, RDN
• Jane S Khouw, D.D.S.
• Amanda Kay Khozouri, M.A.
• Andrei Khramkou
• Minh-Lien Khuat, NP
• Aman Khurana, M.D
• Bindu Khurana, MFT
• Kaschal Sherwon Khurshid
• Lava Josephine Khurshid
• June Ki

• Pediatric Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.