Individual provider Active NPI

Trevor Duc Luu, DMD

  • Dentist
  • Garden Grove, CA
National Provider Identifier
1881769834
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55535 Issued in CA
Practice address
8585 Westminster Ave
Garden Grove, CA 92844-2501
Phone
(714) 799-1599
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D5351 AZ
Dentist 122300000X 55535 CA Primary

Addresses

Primary practice location

8585 Westminster Ave
Garden Grove, CA 92844-2501

Mailing address

8585 Westminster Ave
Garden Grove, CA 92844-2501
Phone (714) 799-1599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D5351AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thi Minh Nguyen DMD Inc. General Practice CurrentSince Apr 1, 2023 Accepting new patients

Locations

8585 Westminster Ave
Garden Grove, CA 92844
Phone (714) 655-4405

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1881769834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 WESTMINSTER AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442501",
            "telephone_number": "714-799-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 WESTMINSTER AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442501",
            "telephone_number": "714-799-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUU",
        "first_name": "TREVOR",
        "middle_name": "DUC",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5351",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.