Individual provider Active NPI

Hanh Ngoc Nguyen, D.D.S.

  • General Practice Dentistry
  • Delano, CA
National Provider Identifier
1730212952
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D5372101 Issued in CA
Practice address
1406 Jefferson St
Delano, CA 93215-2222
Phone
(661) 725-9430
Fax
(661) 725-7221
NPI assigned
Mar 14, 2007
Last updated
Apr 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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 D5372101 CA Primary

Addresses

Primary practice location

1406 Jefferson St
Delano, CA 93215-2222

Mailing address

1406 Jefferson St
Delano, CA 93215-2222
Phone (661) 725-9430

Other identifiers 1

IdentifierTypeStateIssuer
D5372101MedicaidCA

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
I20160620001976 CA Order and Referring Only - DentistPractitioner - Dentist 5799076840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D5372101CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Songsu Kim General Practice Past Accepting new patients
Dr D S Park Dental Inc PastSince Oct 27, 2019 Accepting new patients

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1730212952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 JEFFERSON ST",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932152222",
            "telephone_number": "661-725-9430",
            "fax_number": "661-725-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 JEFFERSON ST",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932152222",
            "telephone_number": "661-725-9430",
            "fax_number": "661-725-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HANH",
        "middle_name": "NGOC",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D5372101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D5372101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delano, CA

Sources for this page

Verify at the official NPI Registry.