Randy Trung-Quy Nguyen, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

B43828 Issued in CA

Practice address

3850 Montgomery Dr Ste C
Santa Rosa, CA 95405-5207

Phone

(707) 527-8700

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861552812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 MONTGOMERY DR STE C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954055207",
            "telephone_number": "707-527-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 MONTGOMERY DR STE C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954055207",
            "telephone_number": "707-527-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "RANDY",
        "middle_name": "TRUNG-QUY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "B43828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL PROVIDER NUMBER",
            "identifier": "B43828",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Tien Nguyen, DDS
• Mariel Buenaflor Nguyen, LVN
• Mei Nguyen
• Minh C Nguyen, PHARM.D.
• Paul Quoc-Hung Nguyen, DO
• Thong Nguyen, D.O.
• Tony Chien Nguyen, D.P.M.
• Trevor Tri Nguyen, DDS
• Vivienne Nguyen
• Shyla Nhey

• General Practice Dentistry in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• General Practice Dentistry in California

• 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.

Verify at the official NPI Registry.