Organization Active NPI

Nathan N.T. Nguyen DMD Inc

  • Periodontics
  • Alhambra, CA
National Provider Identifier
1679771653
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
34530 Issued in CA
Legal business name
NATHAN N.T. NGUYEN DMD INC
Practice address
707 W Valley Blvd
Ste 23
Alhambra, CA 91803-3258
Phone
(626) 299-1900
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Dr. Nathan Nguyen T NguyenNPI 1366566390
Title
President Dentist
Phone
(626) 299-1900

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 34530 CA Primary

Addresses

Primary practice location

707 W Valley Blvd
Ste 23
Alhambra, CA 91803-3258

Mailing address

707 W Valley Blvd
Ste 23
Alhambra, CA 91803-3258
Phone (626) 299-1900

National Provider Directory

National Provider Directory
Tax ID family
Nathan NT Nguyen DMD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

707 W Valley Blvd
Ste 23
Alhambra, CA 91803
Phone (626) 299-1900

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": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1679771653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 W VALLEY BLVD",
            "address_2": "STE 23",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918033258",
            "telephone_number": "626-299-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W VALLEY BLVD",
            "address_2": "STE 23",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918033258",
            "telephone_number": "626-299-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN N.T. NGUYEN DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "NATHAN NGUYEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "626-299-1900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "34530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.