Organization Active NPI

Anisha Nguyen DDS Prof. Corp.

  • Dentist
  • Santa Ana, CA
National Provider Identifier
1750997011
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ANISHA NGUYEN DDS PROF. CORP.
Practice address
5127 W Edinger Ave Ste E
Santa Ana, CA 92704-1969
Phone
(714) 775-0650
NPI assigned
Sep 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Authorized official

Name
Dr. Anisha Nguyen, DDSNPI 1871653667
Title
Ceo
Phone
(714) 651-6725

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X

Addresses

Primary practice location

5127 W Edinger Ave Ste E
Santa Ana, CA 92704-1969

Mailing address

10551 Claussen St
Garden Grove, CA 92840-5040
Phone (714) 651-6725

Other names 1

  • Anisha Nguyen DDS Prof. Corp. Doing business as

National Provider Directory

National Provider Directory

Locations

5127 W Edinger Ave
Ste E
Santa Ana, CA 92704
Phone (714) 775-0650

Practitioners & affiliated clinicians

Practitioners 2

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": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1750997011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10551 CLAUSSEN ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405040",
            "telephone_number": "714-651-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5127 W EDINGER AVE STE E",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927041969",
            "telephone_number": "714-775-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANISHA NGUYEN DDS PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ANISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-651-6725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anisha Nguyen DDS Prof. Corp.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.