Active NPI
Linh Thi Ngoc Nguyen, DDS
- Dentist
- Ontario, CA
National Provider Identifier
1720208408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 43473
- Practice address
- 2409 S Vineyard Ave Ste D
Ontario, CA 91761-6401 - Phone
- (909) 923-9557
- Fax
- (909) 923-9946
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 43473 | CA | Primary |
Addresses
Primary practice location
2409 S Vineyard Ave Ste D
Ontario, CA 91761-6401
Mailing address
2409 S Vineyard Ave
Suite D
Ontario, CA 91761-6401
Phone (909) 923-9557
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160223002757 | CA | Order and Referring Only - Dentist | 2163727595 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43473 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720208408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2409 S VINEYARD AVE",
"address_2": "SUITE D",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917616401",
"telephone_number": "909-923-9557",
"fax_number": "909-923-9946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2409 S VINEYARD AVE STE D",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917616401",
"telephone_number": "909-923-9557",
"fax_number": "909-923-9946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "LINH",
"middle_name": "THI NGOC",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "43473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.