Individual provider Active NPI

Cecelia Ngoc Nguyen

  • Dentist
  • Yuma, AZ
National Provider Identifier
1720758824
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D011116 Issued in AZ
Practice address
2241 S Avenue a Ste 7
Yuma, AZ 85364-8374
Phone
(928) 783-0636
NPI assigned
Sep 20, 2021
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D011116 AZ Primary

Addresses

Primary practice location

2241 S Avenue a Ste 7
Yuma, AZ 85364-8374

Mailing address

7949 E 24TH St
Yuma, AZ 85365-8602
Phone (928) 249-3673

Other practice location 1

7949 E 24th St
Yuma, AZ 85365-8602
Phone (928) 249-3673

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

LicenseStateTypeSpecialty
D011116AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gila Ridge Dentistry West LLC CurrentSince Mar 20, 2025 Accepting new patients
Dennis R Wong DMD PC General Practice PastSince Mar 20, 2025 Accepting new patients

Locations

2241 S Avenue A
Ste 7
Yuma, AZ 85364
Phone (928) 783-0636

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1720758824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7949 E 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853658602",
            "telephone_number": "928-249-3673",
            "fax_number": "918-341-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 S AVENUE A STE 7",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648374",
            "telephone_number": "928-783-0636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7949 E 24th St",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853658602",
            "country_code": "US",
            "telephone_number": "928-249-3673",
            "fax_number": "918-341-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CECELIA",
        "middle_name": "NGOC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.