Individual provider Active NPI

Anthony M. Nguyen, D.D.S.

  • General Practice Dentistry
  • La Puente, CA
National Provider Identifier
1811277015
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60620 Issued in CA
Practice address
13704 Amar Rd
La Puente, CA 91746-1601
Phone
(626) 917-3088
Fax
(626) 917-9333
NPI assigned
Aug 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60620 CA Primary

Addresses

Primary practice location

13704 Amar Rd
La Puente, CA 91746-1601

Mailing address

13704 Amar Rd
La Puente, CA 91746-1601
Phone (626) 917-3088

Other practice location 1

14445 Olive View Drive
Olive View - UCLA Medical Center
Sylmar, CA 91342
Phone (818) 364-3632

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

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811277015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13704 AMAR RD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917461601",
            "telephone_number": "626-917-3088",
            "fax_number": "626-917-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13704 AMAR RD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917461601",
            "telephone_number": "626-917-3088",
            "fax_number": "626-917-9333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14445 Olive View Drive",
            "address_2": "Olive View - UCLA Medical Center",
            "address_purpose": "LOCATION",
            "city": "Sylmar",
            "state": "CA",
            "postal_code": "91342",
            "country_code": "US",
            "telephone_number": "818-364-3632",
            "fax_number": "818-364-3244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANTHONY",
        "middle_name": "M.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Puente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.