Active NPI
Richard T. Nguyen, DDS
- General Practice Dentistry
- Westminster, CA
National Provider Identifier
1659448116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 52659
- Practice address
- 9741 Bolsa Ave
Suite 106
Westminster, CA 92683-6683 - Phone
- (714) 775-8434
- Fax
- (714) 775-1241
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 52659 | CA | Primary |
Addresses
Primary practice location
9741 Bolsa Ave
Suite 106
Westminster, CA 92683-6683
Mailing address
9741 Bolsa Ave
Suite 106
Westminster, CA 92683-6683
Phone (714) 775-8434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52659 | Other | CA | PROVIDER NUMBER/ LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SC Dental | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Westminster, CA
- NPI 1770775041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1659448116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9741 BOLSA AVE",
"address_2": "SUITE 106",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926836683",
"telephone_number": "714-775-8434",
"fax_number": "714-775-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9741 BOLSA AVE",
"address_2": "SUITE 106",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926836683",
"telephone_number": "714-775-8434",
"fax_number": "714-775-1241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "RICHARD",
"middle_name": "T.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "52659",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER/ LICENSE NUMBER",
"identifier": "52659",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.