NPIMap

Organization Active NPI

Trinh P. Nguyen, D.D.S. Pro Corp

Doing business as Desert Palms Dental

  • General Practice Dentistry
  • North Las Vegas, NV
National Provider Identifier
1750576468
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4272 Issued in NV
Legal business name
TRINH P. NGUYEN, D.D.S. PRO CORP
Doing business as
Desert Palms Dental
Practice address
5515 Camino Al Norte
Suite 100
North Las Vegas, NV 89031-0819
Phone
(702) 633-6332
Fax
(702) 644-7822
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Ms. Trinh P. Nguyen, D.D.S.NPI 1346304458
Title
Dentisit
Phone
(702) 633-6332

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 4272 NV Primary

Addresses

Primary practice location

5515 Camino Al Norte
Suite 100
North Las Vegas, NV 89031-0819

Mailing address

5515 Camino Al Norte
Suite 100
North Las Vegas, NV 89031-0819
Phone (702) 633-6332

Other identifiers 1

IdentifierTypeStateIssuer
100505327MedicaidNV

Other names 1

  • Desert Palms Dental Doing business as

National Provider Directory

National Provider Directory

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": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1750576468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 CAMINO AL NORTE",
            "address_2": "SUITE 100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890310819",
            "telephone_number": "702-633-6332",
            "fax_number": "702-644-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 CAMINO AL NORTE",
            "address_2": "SUITE 100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890310819",
            "telephone_number": "702-633-6332",
            "fax_number": "702-644-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINH P. NGUYEN, D.D.S. PRO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TRINH",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DENTISIT",
        "authorized_official_telephone_number": "702-633-6332",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100505327",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Palms Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.