Individual provider Active NPI

Tuyet Thi Ngoc Nguyen

  • Dentist
  • Stanton, CA
National Provider Identifier
1841998382
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
108611 Issued in CA
Practice address
11702 Beach Blvd
Stanton, CA 90680-3609
Phone
(714) 622-4107
NPI assigned
Feb 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 108611 CA Primary

Addresses

Primary practice location

11702 Beach Blvd
Stanton, CA 90680-3609

Mailing address

12662 Dale St Apt 201
Garden Grove, CA 92841-4556
Phone (512) 584-1987

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

State licenses

LicenseStateTypeSpecialty
108611CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tafa Dentistry, a Dental Corporation CurrentSince Feb 26, 2023 Accepting new patients

Locations

11702 Beach Blvd
Stanton, CA 90680
Phone (714) 622-4107

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.

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1841998382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12662 DALE ST APT 201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928414556",
            "telephone_number": "512-584-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11702 BEACH BLVD",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906803609",
            "telephone_number": "714-622-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TUYET",
        "middle_name": "THI NGOC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.