Active NPI
Nguyen, Minh, DDS a Dental Corp
- General Practice Dentistry
- Stanton, CA
National Provider Identifier
1689828873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 45505
- Legal business name
- NGUYEN, MINH, DDS A DENTAL CORP
- Practice address
- 12880 Beach Blvd
Suite Aa
Stanton, CA 90680 - Phone
- (714) 890-1122
- Fax
- (714) 896-9512
- NPI assigned
- Nov 14, 2008
- Organization subpart
- Yes
- Parent organization
- NGUYEN, MINH, DDS A DENTAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Minh Duc Nguyen, DDS
- Title
- President
- Phone
- (714) 890-1122
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 45505 | CA | Primary |
Addresses
Primary practice location
12880 Beach Blvd
Suite Aa
Stanton, CA 90680
Mailing address
12880 Beach Blvd
Suite Aa
Stanton, CA 90680
Phone (714) 890-1122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B45505-01 | Other | CA | MEDI - CAL |
Other names 1
- Beach Grove Dentistry
National Provider Directory
National Provider Directory- Part of
- Nguyen Minh DDS a Dental Corp
Locations
12880 Beach Blvd
Ste Aa
Stanton, CA 90680
Phone (714) 890-1122
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Stanton, CA
- NPI 1255409694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226620800000",
"number": "1689828873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12880 BEACH BLVD",
"address_2": "SUITE AA",
"city": "STANTON",
"state": "CA",
"postal_code": "90680",
"telephone_number": "714-890-1122",
"fax_number": "714-896-9512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12880 BEACH BLVD",
"address_2": "SUITE AA",
"city": "STANTON",
"state": "CA",
"postal_code": "90680",
"telephone_number": "714-890-1122",
"fax_number": "714-896-9512"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NGUYEN, MINH, DDS A DENTAL CORP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NGUYEN, MINH, DDS A DENTAL CORPORATION",
"enumeration_date": "2008-11-14",
"last_updated": "2008-11-14",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "MINH",
"authorized_official_middle_name": "DUC",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-890-1122",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "45505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI - CAL",
"identifier": "B45505-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Beach Grove Dentistry",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Stanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.