Individual provider Active NPI

Binh Duong Nguyen, DDS

  • Periodontics
  • San Jose, CA
National Provider Identifier
1750590048
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
35149 Issued in CA
Practice address
2351 McKee Rd
Suite B
San Jose, CA 95116-1624
Phone
(408) 259-6394
Fax
(408) 259-1015
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 35149 CA Primary

Addresses

Primary practice location

2351 McKee Rd
Suite B
San Jose, CA 95116-1624

Mailing address

2351 McKee Rd
Suite B
San Jose, CA 95116-1624
Phone (408) 259-6394

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750590048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 MCKEE RD",
            "address_2": "SUITE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161624",
            "telephone_number": "408-259-6394",
            "fax_number": "408-259-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 MCKEE RD",
            "address_2": "SUITE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161624",
            "telephone_number": "408-259-6394",
            "fax_number": "408-259-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BINH",
        "middle_name": "DUONG",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "35149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.