NPIMap

Organization Active NPI

PNT Nguyen Dental Corporation

Doing business as Corona Endodontic Group

  • Endodontics
  • Corona, CA
National Provider Identifier
1902938376
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
44969 Issued in CA
Legal business name
PNT NGUYEN DENTAL CORPORATION
Doing business as
Corona Endodontic Group
Practice address
1810 Fullerton Avenue
S # 106
Corona, CA 92881
Phone
(951) 898-2050
Fax
(951) 898-7576
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul N T Nguyen, DDS
Title
Owner
Phone
(951) 898-2050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 44969 CA Primary

Addresses

Primary practice location

1810 Fullerton Avenue
S # 106
Corona, CA 92881

Mailing address

1810 Fullerton Avenue
S # 106
Corona, CA 92881
Phone (951) 898-2050

Other names 1

  • Corona Endodontic Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Corona Endodontic Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1810 Fullerton Ave
Ste 106
Corona, CA 92881
Phone (951) 898-2050

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902938376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 FULLERTON AVENUE",
            "address_2": "S # 106",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92881",
            "telephone_number": "951-898-2050",
            "fax_number": "951-898-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 FULLERTON AVENUE",
            "address_2": "S # 106",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92881",
            "telephone_number": "951-898-2050",
            "fax_number": "951-898-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNT NGUYEN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "N T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-898-2050",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "44969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corona Endodontic Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.