NPIMap

Organization Active NPI

Dr Ngoc H Nguyen D D S Inc

  • General Practice Dentistry
  • Elk Grove, CA
National Provider Identifier
1942487582
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48837 Issued in CA
Legal business name
DR NGOC H NGUYEN D D S INC
Practice address
9390 Big Horn Blvd
Suite 175
Elk Grove, CA 95758-7978
Phone
(916) 691-0685
Fax
(916) 691-0687
NPI assigned
Jan 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Authorized official

Name
Dr. Ngoc Hoang Nguyen, D.D.S.NPI 1922190982
Title
President and Ceo
Phone
(916) 691-0685

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 48837 CA Primary

Addresses

Primary practice location

9390 Big Horn Blvd
Suite 175
Elk Grove, CA 95758-7978

Mailing address

9390 Big Horn Blvd
Suite 175
Elk Grove, CA 95758-7978
Phone (916) 691-0685

Other identifiers 2

IdentifierTypeStateIssuer
B48837-02OtherCADDSGP-BILLING PROVIDER ID
101467OtherCADHA PRACTICE ID

Other names 1

  • Wellness Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

9390 Big Horn Blvd
Ste 175
Elk Grove, CA 95758
Phone (916) 691-0685

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": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1942487582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9390 BIG HORN BLVD",
            "address_2": "SUITE 175",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587978",
            "telephone_number": "916-691-0685",
            "fax_number": "916-691-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9390 BIG HORN BLVD",
            "address_2": "SUITE 175",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587978",
            "telephone_number": "916-691-0685",
            "fax_number": "916-691-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR NGOC H NGUYEN D D S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "NGOC",
        "authorized_official_middle_name": "HOANG",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "916-691-0685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDSGP-BILLING PROVIDER ID",
            "identifier": "B48837-02",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHA PRACTICE ID",
            "identifier": "101467",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.