A. Nguyen Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

A. NGUYEN DENTAL CORPORATION

Practice address

2414 S Fairview St Ste 107a
Santa Ana, CA 92704-5345

Phone

(512) 861-1337

Fax

(866) 815-3719

NPI assigned

Oct 31, 2019

Organization subpart

No

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

Authorized official

Name

Amy Lynn Christy-Duncan

Title

Revenue Cycle & Process Improvement

Phone

(737) 787-2049

Specialties & licenses 1

Addresses

Other names 1

• Enable Dental Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

• Tiffany Thuy Trinh Vo, DDS

  • General Practice Dentistry
  • Fountain Valley, CA
  • NPI 1336544048

  CA, General Practice

  Medicare reassignment NPD
• Tin Cheng

  • Dentist
  • Sacramento, CA
  • NPI 1760129084
  NPD (past)

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1801430913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 N LAMAR BLVD",
            "address_2": "STE H125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511096",
            "telephone_number": "512-861-1337",
            "fax_number": "866-815-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 S FAIRVIEW ST STE 107A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045345",
            "telephone_number": "512-861-1337",
            "fax_number": "866-815-3719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2416 W Shaw Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113303",
            "country_code": "US",
            "telephone_number": "866-988-4504",
            "fax_number": "866-815-3719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 El Camino Ave Ste 125",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958152752",
            "country_code": "US",
            "telephone_number": "866-988-4504",
            "fax_number": "866-815-3719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A. NGUYEN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "CHRISTY-DUNCAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "REVENUE CYCLE & PROCESS IMPROVEMENT",
        "authorized_official_telephone_number": "737-787-2049"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enable Dental Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Santa Ana, CA
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.