Organization Active NPI

Thanh Quoc Nguyen DDS, Inc

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1659598852
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43551 Issued in CA
Legal business name
THANH QUOC NGUYEN DDS, INC
Practice address
319 E 17TH St
Santa Ana, CA 92706-4108
Phone
(714) 569-1100
Fax
(714) 547-1235
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thanh Quoc Nguyen, DDSNPI 1467676312
Title
President
Phone
(714) 569-1100

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 43551 CA Primary

Addresses

Primary practice location

319 E 17TH St
Santa Ana, CA 92706-4108

Mailing address

319 E 17TH St
Santa Ana, CA 92706-4108
Phone (714) 569-1100

National Provider Directory

National Provider Directory

Locations

319 E 17th St
Santa Ana, CA 92706
Phone (714) 569-1100

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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659598852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 E 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927064108",
            "telephone_number": "714-569-1100",
            "fax_number": "714-547-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 E 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927064108",
            "telephone_number": "714-569-1100",
            "fax_number": "714-547-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THANH QUOC NGUYEN DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THANH",
        "authorized_official_middle_name": "QUOC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-569-1100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.