Davenguyen DMD, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

52761 Issued in CA

Legal business name

DAVENGUYEN DMD, INC

Practice address

13400 Newport Ave Ste B
Tustin, CA 92780-3753

Phone

(714) 838-1280

Fax

(714) 838-1264

NPI assigned

Mar 14, 2011

Last updated

Mar 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dave H Nguyen, DMDNPI 1003031972

Title

Ceo

Phone

(714) 838-1280

Specialties & licenses 1

Addresses

Tax ID family

Davenguyen DMD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Karentrandmd

  • Preferred Provider Organization
  • San Gabriel, CA
  • NPI 1740613686
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dave Hoaiphuong Nguyen, D.M.D

  • General Practice Dentistry
  • Tustin, CA
  • NPI 1003031972
  NPD (past) Authorized official

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1811295934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 NEWPORT AVE STE B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803753",
            "telephone_number": "714-838-1280",
            "fax_number": "714-838-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 NEWPORT AVE STE B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803753",
            "telephone_number": "714-838-1280",
            "fax_number": "714-838-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVENGUYEN DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-838-1280",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "52761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quyen Dao, M.D.
• Darren M Brown OD Apc
• Farahnaz Dashtgerd
• Theresa Maureen Dausch
• Purvi Dave
• Courtney K Davenport
• Kavita Davenport, CRNA
• David a. Meloni D.D.S. Professional Corp.
• Davin Li Dental Corp
• Carol L Davis

• Dentist in Tustin, CA
• Providers in Tustin, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.