Organization Active NPI

Daniel Nguyen DDS Inc

Doing business as Chino Spectrum Dental

  • Dentist
  • Chino, CA
National Provider Identifier
1760498091
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47531 Issued in CA
Legal business name
DANIEL NGUYEN DDS INC
Doing business as
Chino Spectrum Dental
Practice address
4036 Grand Ave
Ste D
Chino, CA 91710
Phone
(909) 627-9996
Fax
(909) 517-1035
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Daniel DT Nguyen, DDSNPI 1508047929
Title
Owner President
Phone
(909) 627-9996

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 47531 CA Primary

Addresses

Primary practice location

4036 Grand Ave
Ste D
Chino, CA 91710

Mailing address

4036 Grand Ave
Ste D
Chino, CA 91710
Phone (909) 627-9996

Other names 1

  • Chino Spectrum Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4036 Grand Ave
Ste D
Chino, CA 91710
Phone (909) 627-9996

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": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760498091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 GRAND AVE",
            "address_2": "STE D",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "909-627-9996",
            "fax_number": "909-517-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 GRAND AVE",
            "address_2": "STE D",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "909-627-9996",
            "fax_number": "909-517-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL NGUYEN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "DT",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "909-627-9996",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chino Spectrum Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.