NPIMap

Organization Active NPI

Dobson & Nguyen Dentistry Inc

  • General Practice Dentistry
  • Corona, CA
National Provider Identifier
1720486889
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56619 Issued in CA
Legal business name
DOBSON & NGUYEN DENTISTRY INC
Practice address
4334 Altivo LN
Corona, CA 92883-7329
Phone
(951) 277-7477
NPI assigned
Dec 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Gina T Nguyen, DMDNPI 1912188160
Title
General Dentist
Phone
(951) 277-7477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 56619 CA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 56885 CA

Addresses

Primary practice location

4334 Altivo LN
Corona, CA 92883-7329

Mailing address

4334 Altivo LN
Corona, CA 92883-7329
Phone (951) 277-7477

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1720486889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4334 ALTIVO LN",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928837329",
            "telephone_number": "951-277-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 ALTIVO LN",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928837329",
            "telephone_number": "951-277-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOBSON & NGUYEN DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "951-277-7477",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56619",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56885",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.