Justin Truong Manh Nguyen, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58861 Issued in CA

Practice address

304 E Mission Rd Ste a&B
Fallbrook, CA 92028-2159

Phone

(760) 728-5739

Fax

(760) 728-4666

NPI assigned

Jul 20, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Truong Manh Nguyen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • NPI 1134352925
  NPD (past)

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1790915163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E MISSION RD STE A&B",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920282159",
            "telephone_number": "760-728-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E MISSION RD STE A&B",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920282159",
            "telephone_number": "760-728-5739",
            "fax_number": "760-728-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JUSTIN TRUONG",
        "middle_name": "MANH",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRUONG",
            "last_name": "NGUYEN",
            "middle_name": "MANH",
            "credential": "D.M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• New Hope Healthcare LLC
• Felicia Erin Newman
• Nextech Diabetes Supply, LLC.
• Danny Nguyen
• John D Nguyen, M.D.
• Mylinh Nguyen, RDN
• Jennifer Leighann Nicholas, FNP-C
• Kathryn Marie Nichols, LEP
• Elizabeth Nicolas, DDS
• North County ENT Medical Group

• General Practice Dentistry in Fallbrook, CA
• Providers in Fallbrook, 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 Mar 16, 2023; 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.