Organization Active NPI

Mark Nguyen DDS Inc

  • General Practice Dentistry
  • Costa Mesa, CA
National Provider Identifier
1942898697
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MARK NGUYEN DDS INC
Practice address
1202 Bristol St Ste 140
Costa Mesa, CA 92626-8606
Phone
(714) 907-4842
NPI assigned
Jan 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Mark K Nguyen
Title
Dr.
Phone
(714) 907-4842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1202 Bristol St Ste 140
Costa Mesa, CA 92626-8606

Mailing address

1202 Bristol St Ste 140
Costa Mesa, CA 92626-8606
Phone (714) 907-4842

Other names 1

  • Little Healthy Smiles Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1942898697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 BRISTOL ST STE 140",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926268606",
            "telephone_number": "714-907-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 BRISTOL ST STE 140",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926268606",
            "telephone_number": "714-907-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK NGUYEN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "714-907-4842"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Healthy Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.