Kaitlyn P.T. Nguyen, DDS, Professional Corp.

Primary specialty

DentistTaxonomy code 122300000X

License

48651 Issued in CA

Legal business name

KAITLYN P.T. NGUYEN, DDS, PROFESSIONAL CORP.

Practice address

1500 E Katella Ave Ste E
Orange, CA 92867-5091

Phone

(714) 633-2562

Fax

(714) 633-2569

NPI assigned

Mar 19, 2007

Last updated

Aug 22, 2020By 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

Dr. Kaitlyn Nguyen, D.D.S.

Title

President

Phone

(714) 633-2562

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851415111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E KATELLA AVE STE E",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675091",
            "telephone_number": "714-633-2562",
            "fax_number": "714-633-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E KATELLA AVE STE E",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675091",
            "telephone_number": "714-633-2562",
            "fax_number": "714-633-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAITLYN P.T. NGUYEN, DDS, PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-633-2562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "48651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.