Organization Active NPI

Tan Khuu Dental Corporation

  • Dental Clinic/Center
  • Garden Grove, CA
National Provider Identifier
1649035387
Registry record updated Feb 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TAN KHUU DENTAL CORPORATION
Doing business as
Tan Khuu DDS
Practice address
10272 Westminster Ave
Garden Grove, CA 92843-4830
Phone
(949) 988-4661
NPI assigned
Feb 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2024

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

Authorized official

Name
Tan Nhat Khuu, DDSNPI 1376801076
Title
President
Phone
(949) 910-5008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

10272 Westminster Ave
Garden Grove, CA 92843-4830

Mailing address

252 Siena
Lake Forest, CA 92630-7635
Phone (949) 910-5008

Other names 1

  • Tan Khuu DDS Doing business as

National Provider Directory

National Provider Directory

Locations

10272 Westminster Ave
Garden Grove, CA 92843
Phone (714) 638-7940

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708732800000",
    "number": "1649035387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 SIENA",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926307635",
            "telephone_number": "949-910-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10272 WESTMINSTER AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434830",
            "telephone_number": "949-988-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAN KHUU DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-24",
        "certification_date": "2024-02-24",
        "status": "A",
        "authorized_official_last_name": "KHUU",
        "authorized_official_first_name": "TAN",
        "authorized_official_middle_name": "NHAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-910-5008",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tan Khuu DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2024; 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.