Individual provider Active NPI

Quyen Phung Nguyen, D.D.S

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1932423043
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59155 Issued in CA
Practice address
1201 Park Ave Ste 2
San Jose, CA 95126-2919
Phone
(408) 971-9990
Fax
(408) 971-6628
NPI assigned
Mar 18, 2010
Last updated
Mar 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 59155 CA Primary

Addresses

Primary practice location

1201 Park Ave Ste 2
San Jose, CA 95126-2919

Mailing address

1201 Park Ave Ste 2
San Jose, CA 95126-2919
Phone (408) 971-9990

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
59155CAMDDental Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cyrus M. Akhbari D.M.D a Proffesional Dental Coorporation Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1932423043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PARK AVE STE 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262919",
            "telephone_number": "408-971-9990",
            "fax_number": "408-971-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PARK AVE STE 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262919",
            "telephone_number": "408-971-9990",
            "fax_number": "408-971-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "QUYEN",
        "middle_name": "PHUNG",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59155",
            "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 Mar 18, 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.