Son Nguyen D.D.S., Inc.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SON NGUYEN D.D.S., INC.

Doing business as

Lotus Dental Specialists

Practice address

730 E Valley Blvd.
San Gabriel, CA 91776

Phone

(626) 286-5600

Fax

(626) 286-5605

NPI assigned

Aug 26, 2014

Organization subpart

Yes

Parent organization

SON NGUYEN DDS, INCAs reported in NPPES

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

Authorized official

Name

Son Van Nguyen, D.D.S.

Title

C.E.O./Owner

Phone

(714) 379-2560

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lotus Dental Specialists Doing business as

Tax ID family

Son Nguyen DDS Inc2 organizations share this tax ID, including this one

Part of

Son Nguyen DDS Inc

Other organizations with this tax ID 1

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

• Son Nguyen DDS, Inc

  dba Lotus Dental Specialists

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Westminster, CA
  • NPI 1649679762
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Son Nguyen DDS, Inc

  dba Lotus Dental Specialists

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Westminster, CA
  • NPI 1649679762
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walter T. Lim, D.D.S.

  • General Practice Dentistry
  • San Gabriel, CA
  • NPI 1952514713
  NPD (past)

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1689074734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 E. VALLEY BLVD.",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "91776",
            "telephone_number": "626-286-5600",
            "fax_number": "626-286-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 E VALLEY BLVD.",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "91776",
            "telephone_number": "626-286-5600",
            "fax_number": "626-286-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SON NGUYEN D.D.S., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SON NGUYEN DDS, INC",
        "enumeration_date": "2014-08-26",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "SON",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "C.E.O./OWNER",
        "authorized_official_telephone_number": "714-379-2560",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "43049",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G90365-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lotus Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.