Jimmy-Tung Thanh Nguyen, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

104694 Issued in CA

Practice address

856 N Hillview Dr
Milpitas, CA 95035-4544

Phone

(408) 945-8646

NPI assigned

Feb 24, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kirk Yen, DDS, Inc.

  • Dental Clinic/Center
  • San Jose, CA
  • NPI 1437457553
  NPD (past)

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1669912655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 N HILLVIEW DR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950354544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 N HILLVIEW DR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950354544",
            "telephone_number": "408-945-8646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 Willow St Ste 5",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951255101",
            "country_code": "US",
            "telephone_number": "408-265-7530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JIMMY-TUNG",
        "middle_name": "THANH",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-24",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "104694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hien Ngoc Nguyen, MD
• Hung T Nguyen, DMD, MSD
• Huong Nguyen, DMD
• Jade Nguyen
• Jeanpaul Nguyen, D.C.
• Justin Nguyen
• Kelly N Nguyen, O.D.
• Khanh Bao Nguyen, PHARMD
• Khoa Ke Nguyen, D.C.
• Ky Ngoc Nguyen, DDS

• Oral and Maxillofacial Surgery (Dentist) in Milpitas, CA
• Providers in Milpitas, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.

Verify at the official NPI Registry.