Douglas Duc Tien Nguyen, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

40970 Issued in CA

Practice address

9600 Bolsa Ave Ste E
Westminster, CA 92683-5949

Phone

(714) 839-9800

Fax

(714) 839-9894

NPI assigned

Apr 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Douglas Nguyen, DDS, a Professional Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Westminster, CA
  • NPI 1568683266
  NPD (past) Authorized official

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1902025919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 BOLSA AVE STE E",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835949",
            "telephone_number": "714-839-9800",
            "fax_number": "714-839-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 BOLSA AVE STE E",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835949",
            "telephone_number": "714-839-9800",
            "fax_number": "714-839-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DOUGLAS",
        "middle_name": "DUC TIEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "40970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL OLD RENDERING PROVIDER NUMBER",
            "identifier": "D40970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Thuy Tu Nguyen, MD
• Diem Doan Nguyen, OD
• Diep Ngoc Thi Nguyen, DDS
• Doan Qui Nguyen, MD
• Doanh Manh Nguyen, PHARM. D.
• Duong C. Nguyen, D.D.S
• Dzung Nguyen
• Emily Dao Nguyen, MD
• Emily Thao Nguyen, PHARMD
• Fabianne Nguyen

• Orthodontics and Dentofacial Orthopedics Dentistry in Westminster, CA
• Providers in Westminster, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.