Andrew Thanh Nguyen, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

102087 Issued in CA

Practice address

31878 Del Obispo St Ste 106
San Juan Capistrano, CA 92675-3223

Phone

(714) 933-8560

NPI assigned

Jun 28, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Andrew T Nguyen DDS PC

  • General Practice Dentistry
  • San Juan Capistrano, CA
  • NPI 1851888689
  NPD Authorized official

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1770923245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31878 DEL OBISPO ST STE 106",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753223",
            "telephone_number": "714-933-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31878 DEL OBISPO ST STE 106",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753223",
            "telephone_number": "714-933-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANDREW",
        "middle_name": "THANH",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nekoranec Psychology, a Prof Corp
• Michael Keith Nelson, D.C.
• Lisa Neumann, BHP, CADC-II
• Lauren Neve, LCSW
• New Method Wellness, Inc.
• Sabrina Nguyen, PHARMD
• Thuytrang Diep Nguyen, M.D.
• Nicholas J Shubin DDS Inc
• Nicole E Kuske DDS Inc a Professional Corporation
• Daniella Nieto

• General Practice Dentistry in San Juan Capistrano, CA
• Providers in San Juan Capistrano, 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 Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.