Active NPI
Ngoc Dung Thi Nguyen, D.D.S.
- General Practice Dentistry
- Sunnyvale, CA
National Provider Identifier
1790890176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 57896
- Practice address
- 826 E Fremont Ave Ste D
Sunnyvale, CA 94087-3650 - Phone
- (408) 738-8840
- Fax
- (408) 738-8846
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8296 | TN | |
| General Practice Dentistry | 1223G0001X | 57896 | CA | Primary |
Addresses
Primary practice location
826 E Fremont Ave Ste D
Sunnyvale, CA 94087-3650
Mailing address
826 E Fremont Ave Ste D
Sunnyvale, CA 94087-3650
Phone (408) 738-8840
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4101227 | Other | TN | BCBS |
| 01385805 | Other | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57896 | CA | MD | General Practice Dentistry |
| 8296 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251158400000",
"number": "1790890176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 E FREMONT AVE STE D",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940873650",
"telephone_number": "408-738-8840",
"fax_number": "408-738-8846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 E FREMONT AVE STE D",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940873650",
"telephone_number": "408-738-8840",
"fax_number": "408-738-8846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "NGOC DUNG",
"middle_name": "THI",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2009-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "8296",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "57896",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4101227",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "01385805",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.