Jacqueline B. Nguyen, D.D.S., a Professional Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

48969 Issued in CA

Legal business name

JACQUELINE B. NGUYEN, D.D.S., A PROFESSIONAL CORPORATION

Doing business as

South Valley Dentists

Practice address

6950 Santa Teresa Blvd Ste C
San Jose, CA 95119-1300

Phone

(408) 578-8848

Fax

(408) 578-8878

NPI assigned

Nov 12, 2009

Organization subpart

Yes

Parent organization

JACQUELINE B. NGUYEN, D.D.S., A PROFESSIONAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Dr. Jacqueline B. Nguyen, D.D.S.

Title

Dentist

Phone

(408) 578-8848

Specialties & licenses 1

Addresses

Other names 1

• South Valley Dentists Doing business as

Part of

Jacqueline B Nguyen DDS a Professional Corporation

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1699002659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 SANTA TERESA BLVD STE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191300",
            "telephone_number": "408-578-8848",
            "fax_number": "408-578-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 SANTA TERESA BLVD STE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191300",
            "telephone_number": "408-578-8848",
            "fax_number": "408-578-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE B. NGUYEN, D.D.S., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACQUELINE B. NGUYEN, D.D.S., A PROFESSIONAL CORPORATION",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "408-578-8848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "48969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Valley Dentists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jan Jacobsen, OTR
• Jessica Jacobson
• Marie Therese Jacobson, L.AC.
• Michele Jacobson
• Nicholas Jacque
• Jacqueline Broughton DC
• Daniel Aaron Jacques, MS, CCP
• Yesena Celina Jacques, MHS PP-2
• Evangelina Jacy
• Michael M Jadali, D.O. , RPH

• Dentist in San Jose, CA
• Providers in San Jose, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.