Organization Active NPI

Vtnguyen Endodontics PC

  • Endodontics
  • Laguna Beach, CA
National Provider Identifier
1841625514
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
48343 Issued in CA
Legal business name
VTNGUYEN ENDODONTICS PC
Practice address
31796 Coast Hwy
Laguna Beach, CA 92651-6974
Phone
(949) 415-1020
NPI assigned
Sep 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Authorized official

Name
Vinh-Thy Nguyen
Title
Ceo
Phone
(702) 557-9528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 48343 CA Primary

Addresses

Primary practice location

31796 Coast Hwy
Laguna Beach, CA 92651-6974

Mailing address

1175 Baker St
E19 #220
Costa Mesa, CA 92626-4101

National Provider Directory

National Provider Directory

Locations

1175 Baker St
Ste E19
Costa Mesa, CA 92626

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1841625514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 BAKER ST",
            "address_2": "E19 #220",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31796 COAST HWY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516974",
            "telephone_number": "949-415-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VTNGUYEN ENDODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VINH-THY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-557-9528"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "48343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.