Active NPI
Thu Le Nguyen, DH
- Dental Hygienist
- San Jose, CA
National Provider Identifier
1679017263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 30149
- Practice address
- 5504 Monterey Hwy
San Jose, CA 95138-1529 - Phone
- (408) 599-5550
- NPI assigned
- Dec 15, 2016
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 30149 | CA | Primary |
Addresses
Primary practice location
5504 Monterey Hwy
San Jose, CA 95138-1529
Mailing address
2670 S White Rd
San Jose, CA 95148-2071
Phone (408) 729-4290
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 |
|---|---|---|---|
| 30149 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481760000000",
"number": "1679017263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2670 S WHITE RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951482071",
"telephone_number": "408-729-4290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5504 MONTEREY HWY",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951381529",
"telephone_number": "408-599-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THU",
"middle_name": "LE",
"credential": "DH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-15",
"last_updated": "2016-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "30149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.