Huong Nguyen Doan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48904 Issued in CA

Practice address

4251 S Higuera St Ste 101
San Luis Obispo, CA 93401-7739

Phone

(805) 538-1888

NPI assigned

Mar 13, 2007

Last updated

Jan 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Doan DDS Inc

  • Dentist
  • San Luis Obispo, CA
  • NPI 1184074908
  NPD Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1750414298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 LAKEVIEW ST",
            "city": "SN LUIS OBISP",
            "state": "CA",
            "postal_code": "934054915",
            "telephone_number": "714-381-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 S HIGUERA ST STE 101",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017739",
            "telephone_number": "805-538-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "HUONG",
        "middle_name": "NGUYEN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Dison
• Mary E. Ditomaso, LMFT
• Kerianne Elizabeth Ditomasso, PSY.D.
• Andrew L Dixon, M.D.
• Doan DDS Inc
• Kimberly Tomooka McCarty Dobbe, PT
• Doctor Yu Dental Corporation
• Tillman E. Dodd Jr., M.D.
• Michelle Diana Doerner
• Patricia Doggett

• General Practice Dentistry in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.

Verify at the official NPI Registry.