Nguyen Dazzling Smile Dental Group Corp

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NGUYEN DAZZLING SMILE DENTAL GROUP CORP

Practice address

204 E 17TH St Ste 201
Costa Mesa, CA 92627-7300

Phone

(949) 674-5333

Fax

(949) 674-5322

NPI assigned

May 24, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Anisha Nguyen, DDSNPI 1871653667

Title

Owner

Phone

(714) 651-6725

Specialties & licenses 1

Addresses

Other names 1

• Nguyen Dazzling Smile Dental Group Corp. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anisha A Nguyen, DDS

  • General Practice Dentistry
  • Garden Grove, CA
  • NPI 1871653667
  NPD Authorized official

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1639817166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E 17TH ST STE 201",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926277300",
            "telephone_number": "949-674-5333",
            "fax_number": "949-674-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E 17TH ST STE 201",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926277300",
            "telephone_number": "949-674-5333",
            "fax_number": "949-674-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN DAZZLING SMILE DENTAL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ANISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-651-6725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nguyen Dazzling Smile Dental Group Corp.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Thy Ngo, RN
• Ethan Ly Ngo
• Nhu-Hoang Tyler Duc Ngo
• Victoria Ngo
• Nguyen and Reagan Dental Corporation
• Cristian James Nguyen Gallardo
• Alexandria Nguyen
• Alissa Nha Thanh Nguyen
• Alyssa Nguyen
• An Thi-Ngoc Nguyen, D.O.

• Dentist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.