Active NPI
Anthony M. Nguyen, D.D.S.
- General Practice Dentistry
- La Puente, CA
National Provider Identifier
1811277015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 60620
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.