Brian Nguyen DMD, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

58907 Issued in CA

Legal business name

BRIAN NGUYEN DMD, INC

Practice address

15921 Goldenwest St
Huntington Beach, CA 92647-3127

Phone

(714) 589-2589

Fax

(714) 589-2590

NPI assigned

Oct 17, 2014

Last updated

Oct 17, 2014By 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. Brian D Nguyen, DMD

Title

Owner

Phone

(714) 468-2993

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1649674755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15921 GOLDENWEST ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473127",
            "telephone_number": "714-589-2589",
            "fax_number": "714-589-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15921 GOLDENWEST ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473127",
            "telephone_number": "714-589-2589",
            "fax_number": "714-589-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN NGUYEN DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-468-2993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.