Organization Active NPI

Son Nguyen DDS, Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Westminster, CA
National Provider Identifier
1649679762
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
43049 Issued in CA
Legal business name
SON NGUYEN DDS, INC
Practice address
9039 Bolsa Avenue, Ste 116
Westminster, CA 92683
Phone
(714) 379-2560
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Dr. Son Van Nguyen, DDSNPI 1053450924
Title
Dentist
Phone
(714) 379-2560

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 43049 CA Primary

Addresses

Primary practice location

9039 Bolsa Avenue, Ste 116
Westminster, CA 92683

Mailing address

9039 Bolsa Ave Ste 116
Westminster, CA 92683-5593
Phone (714) 379-2560

Other identifiers 1

IdentifierTypeStateIssuer
G93065-02OtherCADENITCAL

Other names 1

  • LOTUS DENTAL SPECIALISTS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Son Nguyen DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9039 Bolsa Ave
Ste 116
Westminster, CA 92683
Phone (714) 379-2560

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1649679762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9039 BOLSA AVE STE 116",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835593",
            "telephone_number": "714-379-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9039 BOLSA AVENUE, STE 116",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "92683",
            "telephone_number": "714-379-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SON NGUYEN DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "SON",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-379-2560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "43049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENITCAL",
            "identifier": "G93065-02",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOTUS DENTAL SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.