Organization Active NPI

Brightcare Dental Group

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1831356575
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46905 Issued in CA
Legal business name
BRIGHTCARE DENTAL GROUP
Practice address
3078 University Ave
San Diego, CA 92104-3034
Phone
(619) 295-8891
Fax
(619) 295-8896
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. Duy Duc Nguyen
Title
President
Phone
(619) 295-8891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 46905 CA Primary

Addresses

Primary practice location

3078 University Ave
San Diego, CA 92104-3034

Mailing address

3078 University Ave
San Diego, CA 92104-3034
Phone (619) 295-8891

National Provider Directory

National Provider Directory

Locations

3078 University Ave
San Diego, CA 92104
Phone (619) 295-8891

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1831356575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3078 UNIVERSITY AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043034",
            "telephone_number": "619-295-8891",
            "fax_number": "619-295-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3078 UNIVERSITY AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043034",
            "telephone_number": "619-295-8891",
            "fax_number": "619-295-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTCARE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DUY",
        "authorized_official_middle_name": "DUC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-295-8891",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.