Jimmy Nguyen DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JIMMY NGUYEN DDS INC

Practice address

13089 Peyton Dr. Ste. B
Chino Hills, CA 91709

Phone

(909) 548-3031

Fax

(909) 548-3047

NPI assigned

Nov 3, 2020

Organization subpart

Yes

Parent organization

JIMMY NGUYEN, DDS INCAs reported in NPPES

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

Authorized official

Name

Jimmy Nguyen, DDSNPI 1194979989

Title

Dentist/Owner

Phone

(951) 276-2877

Specialties & licenses 1

Addresses

Tax ID family

Jimmy Nguyen DDS Inc3 organizations share this tax ID, including this one

Part of

Jimmy Nguyen DDS Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Jimmy Nguyen D.D.S., Inc

  • Preferred Provider Organization
  • San Bernardino, CA
  • NPI 1598171993
  NPD tax ID
• Jimmy Nguyen D.D.S., Inc

  • Preferred Provider Organization
  • Riverside, CA
  • NPI 1750797445
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jimmy Truong Nguyen, D.D.S

  • General Practice Dentistry
  • Riverside, CA
  • NPI 1194979989
  NPD (past) Authorized official

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1881295384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13089 PEYTON DR. STE. B",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "91709",
            "telephone_number": "909-548-3031",
            "fax_number": "909-548-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13089 PEYTON DR. STE. B",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "91709",
            "telephone_number": "909-548-3031",
            "fax_number": "909-548-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY NGUYEN DDS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JIMMY NGUYEN, DDS INC",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "951-276-2877",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James P. Fabozzi DDS, a Dental Corporation
• Christina James, PH.D.
• Nisha Vinod Jayani, M.D.
• Jenny Soo Hoo OD, Inc.
• Isac Jeyapaul, OTR/L
• Steven Jin, BCBA
• John Lee Jr DMD Inc
• Maria Delaluz Johnson-Gonzales, OT
• Auston Johnson
• Carrie Anna Johnson, LMFT

• General Practice Dentistry in Chino Hills, CA
• Providers in Chino Hills, 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 Nov 3, 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.