Nguyen Ly Nguy Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NGUYEN LY NGUY DENTAL CORP

Doing business as

West Corona Dentistry

Practice address

4264 Green River Rd
Suite 102
Corona, CA 92880

Phone

(951) 340-0200

Fax

(951) 278-9858

NPI assigned

Jan 4, 2019

Organization subpart

Yes

Parent organization

WEST CORONA DENTISTRYAs reported in NPPES

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

Authorized official

Name

Tuan Ly, DDS

Title

Owner/Partner

Phone

(951) 340-0200

Specialties & licenses 2

Addresses

Other names 1

• West Corona Dentistry Doing business as

Part of

Nguyen Ly Nguy Dental Corp

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Khoa Nguyen, DDS

  • General Practice Dentistry
  • Corona, CA
  • NPI 1336297654
  NPD

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1790258556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4264 GREEN RIVER RD",
            "address_2": "SUITE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92880",
            "telephone_number": "951-340-0200",
            "fax_number": "951-278-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4264 GREEN RIVER RD",
            "address_2": "SUITE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92880",
            "telephone_number": "951-340-0200",
            "fax_number": "951-278-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN LY NGUY DENTAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST CORONA DENTISTRY",
        "enumeration_date": "2019-01-04",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "TUAN",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "951-340-0200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Corona Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Corona Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dominique Ngo Bassong
• Katie T Ngo, D.D.S.
• Thong Anh Ngo, DO
• Lilian Wambui Ngure
• Nguyen & Truong Dental Corp. (Dental 'R' US)
• Amy Pham Nguyen, RPH
• An Nguyen
• An Eric Nguyen
• Angeline Douyen Nguyen, DMD
• Anna Nguyen, PHARM. D

• Dentist in Corona, CA
• Providers in Corona, 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, 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.