Individual provider Active NPI

Linh Hoang Nguyen, D.D.S.

  • General Practice Dentistry
  • Westminster, CA
National Provider Identifier
1700924974
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37466 Issued in CA
Practice address
9926 Bolsa Ave
Westminster, CA 92683-6002
Phone
(714) 839-7987
Fax
(714) 839-7988
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 37466 CA Primary

Addresses

Primary practice location

9926 Bolsa Ave
Westminster, CA 92683-6002

Mailing address

9926 Bolsa Ave
Westminster, CA 92683-6002
Phone (714) 839-7987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160212002212 CA Order and Referring Only - DentistPractitioner - Dentist 3971807843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700924974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9926 BOLSA AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836002",
            "telephone_number": "714-839-7987",
            "fax_number": "714-839-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9926 BOLSA AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836002",
            "telephone_number": "714-839-7987",
            "fax_number": "714-839-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LINH",
        "middle_name": "HOANG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.