Organization Active NPI

Minh Chung Nguyen Dental Corp

  • General Practice Dentistry
  • Garden Grove, CA
National Provider Identifier
1790859692
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27813 Issued in CA
Legal business name
MINH CHUNG NGUYEN DENTAL CORP
Practice address
9355 Chapman Avenue
Suite 101
Garden Grove, CA 92841-2536
Phone
(714) 539-8937
Fax
(714) 534-5616
NPI assigned
Nov 20, 2006
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. Minh Chung Nguyen, DDS
Title
President
Phone
(714) 539-8937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 27813 CA Primary

Addresses

Primary practice location

9355 Chapman Avenue
Suite 101
Garden Grove, CA 92841-2536

Mailing address

9355 Chapman Avenue
Suite 101
Garden Grove, CA 92841-2536
Phone (714) 539-8937

National Provider Directory

National Provider Directory

Locations

9355 Chapman Ave
Ste 101
Garden Grove, CA 92841
Phone (714) 539-8937

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790859692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9355 CHAPMAN AVENUE",
            "address_2": "SUITE 101",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928412536",
            "telephone_number": "714-539-8937",
            "fax_number": "714-534-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9355 CHAPMAN AVENUE",
            "address_2": "SUITE 101",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928412536",
            "telephone_number": "714-539-8937",
            "fax_number": "714-534-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINH CHUNG NGUYEN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "CHUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-539-8937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "27813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, 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.