Organization Active NPI

Lan H Nguyen, DDS PC

  • Dentist
  • Novato, CA
National Provider Identifier
1679945182
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46909 Issued in CA
Legal business name
LAN H NGUYEN, DDS PC
Practice address
5404 Nave Dr
Novato, CA 94949-6404
Phone
(925) 957-0148
Fax
(925) 957-9824
NPI assigned
Oct 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Dr. Lan H Nguyen, DDS
Title
Dentist
Phone
(925) 957-0148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 46909 CA Primary

Addresses

Primary practice location

5404 Nave Dr
Novato, CA 94949-6404

Mailing address

5404 Nave Dr
Novato, CA 94949-6404
Phone (925) 957-0148

National Provider Directory

National Provider Directory

Locations

5404 Nave Dr
Novato, CA 94949
Phone (415) 234-6261

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1679945182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 NAVE DR",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949496404",
            "telephone_number": "925-957-0148",
            "fax_number": "925-957-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 NAVE DR",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949496404",
            "telephone_number": "925-957-0148",
            "fax_number": "925-957-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAN H NGUYEN, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "925-957-0148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.