Active NPI
Marie T. Nguyen, D.D.S.
- General Practice Dentistry
- Sonora, CA
National Provider Identifier
1669681193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 48653
- Practice address
- 19969 Greenley Rd Ste C&D
Sonora, CA 95370-5908 - Phone
- (209) 532-0034
- NPI assigned
- May 22, 2007
- Last updated
- Jun 7, 2024
- Sex
- Female
- 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 | 48653 | CA | Primary |
Addresses
Primary practice location
19969 Greenley Rd Ste C&D
Sonora, CA 95370-5908
Mailing address
2601 La Terrace Cir
San Jose, CA 95123-5338
Phone (408) 568-3930
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48653 | CA | MD | Marriage & Family Therapist |
Interoperability endpoints
- marie.nguyen.p1@direct.tmwihc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1669681193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 LA TERRACE CIR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951235338",
"telephone_number": "408-568-3930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19969 GREENLEY RD STE C&D",
"city": "SONORA",
"state": "CA",
"postal_code": "953705908",
"telephone_number": "209-532-0034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MARIE",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "48653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sonora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.