Kenneth T Nguyen DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46204 Issued in CA

Legal business name

KENNETH T NGUYEN DDS INC

Practice address

42210 Lyndie LN Ste B
Temecula, CA 92591-3603

Phone

(951) 695-5678

Fax

(866) 309-1773

NPI assigned

Feb 13, 2014

Organization subpart

No

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

Authorized official

Name

Kenneth T Nguyen, D.D.S.

Title

Ceo

Phone

(951) 695-5678

Specialties & licenses 1

Addresses

Other names 1

• Cavity Catcher Dentistry Doing business as

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1902220718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42210 LYNDIE LN STE B",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913603",
            "telephone_number": "951-695-5678",
            "fax_number": "866-309-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42210 LYNDIE LN STE B",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913603",
            "telephone_number": "951-695-5678",
            "fax_number": "866-309-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH T NGUYEN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-695-5678",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cavity Catcher Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Kemmer, D.C.
• Sandra Kemp
• Tiera Kennedy-Vargas, RN,BSN
• Yenny Angelina Kennedy, DDS
• Kenneth M. Toy a Professional Chiropractic Corporation
• Jillian Kerstetter, MS
• Mackenzie Kester
• Carla Kestler
• Kevin T. Murphy, MD a Professional Corporation
• Dara Keys

• General Practice Dentistry in Temecula, CA
• Providers in Temecula, 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 Mar 10, 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.