Active NPI
Tri Minh Nguyen, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Victorville, CA
National Provider Identifier
1699327031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DDS112397
- Practice address
- 14678 Seventh St Ste 200
Victorville, CA 92395-4002 - Phone
- (832) 633-4245
- NPI assigned
- Jul 16, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DDS112397 | CA | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | S2-218 | NV |
Addresses
Primary practice location
14678 Seventh St Ste 200
Victorville, CA 92395-4002
Mailing address
105 Catalyst
Irvine, CA 92618
Phone (832) 633-4245
Other practice location 1
5642 S Eastern Ave Ste B
Las Vegas, NV 89119-2310
Phone (832) 633-4245
Other practice location 2
Bldg, 390 N Loop Rd,
Fort Irwin, CA 92310
Phone (832) 633-4245
Other practice location 3
410 S Rampart Blvd Ste 360
Las Vegas, NV 89145-5730
Phone (702) 541-8450
Other practice location 4
171 Inner Loop Road
Apo, AA 92310-0000
Phone (760) 380-3173
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33933858 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS112397 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
| S2-218 | NV | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1699327031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CATALYST",
"city": "IRVINE",
"state": "CA",
"postal_code": "92618",
"telephone_number": "832-633-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14678 SEVENTH ST STE 200",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923954002",
"telephone_number": "832-633-4245"
}
],
"practiceLocations": [
{
"address_1": "5642 S Eastern Ave Ste B",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891192310",
"country_code": "US",
"telephone_number": "832-633-4245",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Bldg, 390 N Loop Rd,",
"address_purpose": "LOCATION",
"city": "Fort Irwin",
"state": "CA",
"postal_code": "92310",
"country_code": "US",
"telephone_number": "832-633-4245",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "410 S Rampart Blvd Ste 360",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891455730",
"country_code": "US",
"telephone_number": "702-541-8450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "171 Inner Loop Road",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AA",
"postal_code": "923100000",
"country_code": "US",
"telephone_number": "760-380-3173",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "TRI",
"middle_name": "MINH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-16",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "DDS112397",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NV",
"license": "S2-218",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33933858",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.