Organization Active NPI

Huan Nguyen,DMD, Inc

  • General Practice Dentistry
  • Stockton, CA
National Provider Identifier
1780890392
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49171 Issued in CA
Legal business name
HUAN NGUYEN,DMD, INC
Doing business as
Family Dental Practice
Practice address
8006 N El Dorado St
Stockton, CA 95210-2306
Phone
(209) 952-9290
Fax
(209) 952-9292
NPI assigned
May 14, 2007
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
Dr. Huan Nguyen, DMDNPI 1609089200
Title
President
Phone
(209) 952-9290

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 49171 CA Primary

Addresses

Primary practice location

8006 N El Dorado St
Stockton, CA 95210-2306

Mailing address

8006 N El Dorado St
Stockton, CA 95210-2306
Phone (209) 952-9290

Other names 1

  • Family Dental Practice Doing business as

National Provider Directory

National Provider Directory

Locations

8006 N El Dorado St
Stockton, CA 95210
Phone (209) 952-9290

Practitioners & affiliated clinicians

Practitioners 1

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780890392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8006 N EL DORADO ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952102306",
            "telephone_number": "209-952-9290",
            "fax_number": "209-952-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8006 N EL DORADO ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952102306",
            "telephone_number": "209-952-9290",
            "fax_number": "209-952-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUAN NGUYEN,DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-952-9290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, 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.