Dr. Bao Luu Nguyen DDS Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

42378 Issued in CA

Legal business name

DR. BAO LUU NGUYEN DDS INC.

Practice address

1125 E 17TH St
Suite # W 127
Santa Ana, CA 92701-2201

Phone

(714) 541-9203

NPI assigned

Oct 6, 2016

Organization subpart

No

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

Authorized official

Name

Bao Luu Nguyen, DDS

Title

Owner

Phone

(714) 541-9203

Specialties & licenses 1

Addresses

Other names 1

• Morning Dental Doing business as

Locations

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1780134478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21216 COLD SPRING LN",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653440",
            "telephone_number": "714-541-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST",
            "address_2": "SUITE # W 127",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012201",
            "telephone_number": "714-541-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BAO LUU NGUYEN DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "BAO",
        "authorized_official_middle_name": "LUU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-541-9203",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "42378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morning Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.