Active NPI
Van Nguyen Sproul, DDS
- Dentist
- Livermore, CA
National Provider Identifier
1811908809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 48383
- Practice address
- 2291 Las Positas Rd
Livermore, CA 94551-8893 - Phone
- (925) 245-9028
- Fax
- (925) 245-9058
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 48383 | CA | Primary |
Addresses
Primary practice location
2291 Las Positas Rd
Livermore, CA 94551-8893
Mailing address
2291 Las Positas Rd
Livermore, CA 94551-8893
Phone (925) 245-9028
Other names 1
- Miss Van Mong Nguyen
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nguyen & Sproul Dental Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Livermore, CA
- NPI 1699786673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811908809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2291 LAS POSITAS RD",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945518893",
"telephone_number": "925-245-9028",
"fax_number": "925-245-9058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2291 LAS POSITAS RD",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945518893",
"telephone_number": "925-245-9028",
"fax_number": "925-245-9058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPROUL",
"first_name": "VAN",
"middle_name": "NGUYEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "48383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VAN",
"last_name": "NGUYEN",
"middle_name": "MONG",
"prefix": "MISS",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Livermore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.