Organization Active NPI

CHI Quynh Nguyen Corp

  • Dentist
  • San Jose, CA
National Provider Identifier
1891196440
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41197 Issued in CA
Legal business name
CHI QUYNH NGUYEN CORP
Practice address
2664 Berryessa Rd
Ste 103
San Jose, CA 95132-2925
Phone
(408) 251-6559
NPI assigned
Sep 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Authorized official

Name
Dr. CHI Quynh Nguyen, DDSNPI 1588616197
Title
President
Phone
(408) 251-6559

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 41197 CA Primary

Addresses

Primary practice location

2664 Berryessa Rd
Ste 103
San Jose, CA 95132-2925

Mailing address

2664 Berryessa Rd
Ste 103
San Jose, CA 95132-2925
Phone (408) 251-6559

National Provider Directory

National Provider Directory

Locations

2664 Berryessa Rd
Ste 103
San Jose, CA 95132
Phone (408) 251-6559

Practitioners & affiliated clinicians

Practitioners 1

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": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1891196440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 BERRYESSA RD",
            "address_2": "STE 103",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322925",
            "telephone_number": "408-251-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2664 BERRYESSA RD",
            "address_2": "STE 103",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322925",
            "telephone_number": "408-251-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHI QUYNH NGUYEN CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "CHI",
        "authorized_official_middle_name": "QUYNH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-251-6559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.