Organization Active NPI

Dat Nguyen D.D.S.

  • General Practice Dentistry
  • Rosemead, CA
National Provider Identifier
1730206186
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46660 Issued in CA
Legal business name
DAT NGUYEN D.D.S.
Practice address
9008 Garvey Ave
Suite B
Rosemead, CA 91770-3360
Phone
(626) 280-6733
Fax
(626) 280-7906
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dat Quoc Nguyen, D.D.S.NPI 1477654036
Title
Owner
Phone
(626) 280-6733

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 46660 CA Primary

Addresses

Primary practice location

9008 Garvey Ave
Suite B
Rosemead, CA 91770-3360

Mailing address

9008 Garvey Ave
Suite B
Rosemead, CA 91770-3360
Phone (626) 280-6733

Other identifiers 1

IdentifierTypeStateIssuer
G94106-01OtherCAMEDI-CAL DENTAL ID #

National Provider Directory

National Provider Directory

Locations

9008 Garvey Ave
Ste B
Rosemead, CA 91770
Phone (626) 280-6733

Practitioners & affiliated clinicians

Practitioners 1

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730206186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9008 GARVEY AVE",
            "address_2": "SUITE B",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703360",
            "telephone_number": "626-280-6733",
            "fax_number": "626-280-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9008 GARVEY AVE",
            "address_2": "SUITE B",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703360",
            "telephone_number": "626-280-6733",
            "fax_number": "626-280-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAT NGUYEN D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DAT",
        "authorized_official_middle_name": "QUOC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-280-6733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL DENTAL ID #",
            "identifier": "G94106-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.