Individual provider Active NPI

Trinh Tuan Nguyen, DDS

  • Dentist
  • Placentia, CA
National Provider Identifier
1861611097
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50658 Issued in CA
Practice address
1858 N Placentia Ave
Placentia, CA 92870
Phone
(714) 577-9070
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 50658 CA Primary

Addresses

Primary practice location

1858 N Placentia Ave
Placentia, CA 92870

Mailing address

1862 N Placentia Ave
Placentia, CA 92870-2303
Phone (714) 993-3110

Other practice location 1

10017 Valley View St
Cypress, CA 90630-4601
Phone (714) 761-2211

Other practice location 2

782 N Brea Blvd
Brea, CA 92821-3334
Phone (714) 257-0330

Other practice location 3

19080 Brookhurst St
Huntington Beach, CA 92646-2552
Phone (714) 968-2527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160314000295 CA Order and Referring Only - DentistPractitioner - Dentist 4284930579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50658CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinh Tuan Nguyen DMD a Dental Corporation Dentist Past Accepting new patients

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1861611097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1862 N PLACENTIA AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928702303",
            "telephone_number": "714-993-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1858 N PLACENTIA AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "92870",
            "telephone_number": "714-577-9070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10017 Valley View St",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "CA",
            "postal_code": "906304601",
            "country_code": "US",
            "telephone_number": "714-761-2211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "782 N Brea Blvd",
            "address_purpose": "LOCATION",
            "city": "Brea",
            "state": "CA",
            "postal_code": "928213334",
            "country_code": "US",
            "telephone_number": "714-257-0330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19080 Brookhurst St",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926462552",
            "country_code": "US",
            "telephone_number": "714-968-2527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRINH",
        "middle_name": "TUAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

Verify at the official NPI Registry.