Active NPI
Sean T Nguyen, DDS
- Dentist
- Lake Forest, CA
National Provider Identifier
1750539821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 58399
- Practice address
- 23642 Rockfield Blvd
Ste 504
Lake Forest, CA 92630-1681 - Phone
- (949) 415-7776
- Fax
- (949) 916-9906
- NPI assigned
- Sep 3, 2008
- Last updated
- Oct 21, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D7648 | AZ | |
| Dentist | 122300000X | 58399 | CA | Primary |
Addresses
Primary practice location
23642 Rockfield Blvd
Ste 504
Lake Forest, CA 92630-1681
Mailing address
23642 Rockfield Blvd
Ste 504
Lake Forest, CA 92630-1681
Phone (949) 415-7776
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
| License | State | Type | Specialty |
|---|---|---|---|
| D7648 | AZ | MD | Dentist |
| 58399 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sean Nguyen, DDS Inc. | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477008000000",
"number": "1750539821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23642 ROCKFIELD BLVD",
"address_2": "STE 504",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926301681",
"telephone_number": "949-415-7776",
"fax_number": "949-916-9906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23642 ROCKFIELD BLVD",
"address_2": "STE 504",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926301681",
"telephone_number": "949-415-7776",
"fax_number": "949-916-9906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "SEAN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-03",
"last_updated": "2016-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D7648",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "58399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.