NPIMap

Organization Active NPI

Duong Nguyen DDS Inc

  • Dentist
  • San Jose, CA
National Provider Identifier
1649605148
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
CA58450 Issued in CA
Legal business name
DUONG NGUYEN DDS INC
Practice address
1075 S White Rd
#60
San Jose, CA 95127-3825
Phone
(408) 272-8883
Fax
(408) 272-2998
NPI assigned
Sep 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
Duong Nguyen, DDSNPI 1538490008
Title
President
Phone
(323) 455-8326

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X CA58450 CA Primary

Addresses

Primary practice location

1075 S White Rd
#60
San Jose, CA 95127-3825

Mailing address

1075 S White Rd
#60
San Jose, CA 95127-3825
Phone (408) 272-8883

National Provider Directory

National Provider Directory

Locations

1075 S White Rd
Ste 60
San Jose, CA 95127
Phone (323) 455-8326

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": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1649605148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 S WHITE RD",
            "address_2": "#60",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951273825",
            "telephone_number": "408-272-8883",
            "fax_number": "408-272-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 S WHITE RD",
            "address_2": "#60",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951273825",
            "telephone_number": "408-272-8883",
            "fax_number": "408-272-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUONG NGUYEN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DUONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-455-8326",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "CA58450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

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