Jenine Thanh Tieu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

113566 Issued in CA

Practice address

10022 Imperial Ave Ste a
Garden Grove, CA 92843-2371

Phone

(714) 534-6969

NPI assigned

Apr 11, 2023

Last updated

Oct 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ngoc-Thanh Nguyen Tieu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1790470003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10022 IMPERIAL AVE STE A",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432371",
            "telephone_number": "714-534-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10022 IMPERIAL AVE STE A",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432371",
            "telephone_number": "714-534-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEU",
        "first_name": "JENINE",
        "middle_name": "THANH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "113566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NGOC-THANH",
            "last_name": "TIEU",
            "middle_name": "NGUYEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda Thy
• Angel J Tibeihaho
• Tien Quoc Nguyen DPM, Inc. (Little Saigon Foot & Ankle)
• Tiep M. Tran DDS Inc.
• Tiep M. Tran, DDS Inc.
• Allyson J Timmons
• Timothy T. Bui D.D.S Inc. (Main Street Family Dental)
• Timothy Thien Tran MD Inc
• Herbert S. Tiquia, MD
• Titanium Care Management of New York Inc

• General Practice Dentistry in Garden Grove, CA
• Providers in Garden Grove, 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 Oct 20, 2026; 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.