NPIMap

Organization Active NPI

Scott Nguyen, DDS, Inc.

  • General Practice Dentistry
  • Newark, CA
National Provider Identifier
1861692097
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40379 Issued in CA
Legal business name
SCOTT NGUYEN, DDS, INC.
Practice address
6180 Jarvis Ave.
#J
Newark, CA 94560-1200
Phone
(510) 795-9669
Fax
(510) 795-1404
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Scott Nguyen, DDSNPI 1194943563
Title
President
Phone
(510) 795-9669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 40379 CA Primary

Addresses

Primary practice location

6180 Jarvis Ave.
#J
Newark, CA 94560-1200

Mailing address

6180 Jarvis Ave.
#J
Newark, CA 94560-1200
Phone (510) 795-9669

Other names 1

  • Sunnysmile Dental Doing business as

National Provider Directory

National Provider Directory

Locations

6180 Jarvis Ave
Ste J
Newark, CA 94560
Phone (510) 795-9669

Practitioners & affiliated clinicians

Practitioners 2

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": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1861692097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6180 JARVIS AVE.",
            "address_2": "#J",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945601200",
            "telephone_number": "510-795-9669",
            "fax_number": "510-795-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6180 JARVIS AVE.",
            "address_2": "#J",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945601200",
            "telephone_number": "510-795-9669",
            "fax_number": "510-795-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT NGUYEN, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-795-9669",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnysmile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.