Individual provider Active NPI

Yen Hai Nguyen-Lenk, DMD

  • General Practice Dentistry
  • San Ramon, CA
National Provider Identifier
1720176324
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48344 Issued in CA
Practice address
9130 Alcosta Blvd Ste a
San Ramon, CA 94583-3847
Phone
(925) 803-9700
Fax
(925) 803-2568
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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 48344 CA Primary

Addresses

Primary practice location

9130 Alcosta Blvd Ste a
San Ramon, CA 94583-3847

Mailing address

3189 Danville Blvd
Ste 110
Alamo, CA 94507-1955
Phone (925) 831-0900

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
I20160628000911 CA Order and Referring Only - DentistPractitioner - Dentist 4385935055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
48344CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1720176324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3189 DANVILLE BLVD",
            "address_2": "STE 110",
            "city": "ALAMO",
            "state": "CA",
            "postal_code": "945071955",
            "telephone_number": "925-831-0900",
            "fax_number": "925-831-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9130 ALCOSTA BLVD STE A",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945833847",
            "telephone_number": "925-803-9700",
            "fax_number": "925-803-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN-LENK",
        "first_name": "YEN",
        "middle_name": "HAI",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.