Loan Mai Nguyen DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LOAN MAI NGUYEN DDS INC

Practice address

1816 Tully Rd Ste 243
San Jose, CA 95122-4405

Phone

(408) 270-3333

NPI assigned

May 24, 2024

Last updated

May 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Loan Mai Nguyen, DDSNPI 1629297403

Title

Manager

Phone

(408) 270-3333

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Loan Mai Nguyen, D.D.S.

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1629297403
  NPD Authorized official
• Ying Tao, DMD

  • General Practice Dentistry
  • Fremont, CA
  • NPI 1922197037
  NPD (past)

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1760221048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 TULLY RD STE 243",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951224405",
            "telephone_number": "408-270-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 TULLY RD STE 243",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951224405",
            "telephone_number": "408-270-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOAN MAI NGUYEN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LOAN",
        "authorized_official_middle_name": "MAI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "408-270-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Lo
• Mei-Ven C Lo, MD
• Pei Yu Lo
• Rachelle Marie Lo, M.D.
• Stephanie Faith Lo
• Loaves & Fishes Family Kitchen
• Loaves & Fishes Family Kitchen
• Loaves & Fishes Family Kitchen
• Sonya Lobana, M.D
• Gina Lobito, CMT

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, 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 May 24, 2024; 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.