Individual provider Active NPI

Alan Nguyen

  • Dentist
  • Milpitas, CA
National Provider Identifier
1770324261
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
109894 Issued in CA
Practice address
991 Montague Expy Ste 102
Milpitas, CA 95035-6809
Phone
(408) 946-6666
NPI assigned
Jun 6, 2024
Reactivated
Apr 16, 2025
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 109894 CA Primary

Addresses

Primary practice location

991 Montague Expy Ste 102
Milpitas, CA 95035-6809

Mailing address

991 Montague Expy Ste 102
Milpitas, CA 95035-6809
Phone (408) 946-6666

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

State licenses

LicenseStateTypeSpecialty
109894CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy Thoai Nguyen D.D.S., Inc. PastSince Jun 9, 2024 Accepting new patients
Timothy Thoai Nguyen DDS Inc. PastSince Jun 9, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1770324261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 MONTAGUE EXPY STE 102",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356809",
            "telephone_number": "408-946-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 MONTAGUE EXPY STE 102",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356809",
            "telephone_number": "408-946-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ALAN",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2024-06-06",
        "last_updated": "2025-04-16",
        "certification_date": "2024-06-06",
        "deactivation_date": "2024-08-14",
        "reactivation_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.