Tracy Truc Nguyen, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

47647 Issued in CA

Practice address

13920 Beach Blvd
Westminster, CA 92683-4037

Phone

(714) 893-2100

Fax

(714) 589-2525

NPI assigned

Jul 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665792000000",
    "number": "1952327652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13920 BEACH BLVD",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834037",
            "telephone_number": "714-893-2100",
            "fax_number": "714-589-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13920 BEACH BLVD",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834037",
            "telephone_number": "714-893-2100",
            "fax_number": "714-589-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRACY",
        "middle_name": "TRUC",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-10-15",
        "certification_date": "2022-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47647",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "47647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA ID",
            "identifier": "1632532",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G93073-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• To Vinh Nguyen, DDS
• Toan Dac Nguyen, DDS
• Tommy Minh Nguyen
• Tony Nguyen
• Tracy Nguyen
• Tramy Nguyen
• Tran Phuong Uyen Nguyen
• Tri Cuu Nguyen, D.D.S.
• Tri DO Nguyen, D.C
• Triet Minh Nguyen, M.D.

• Dentist in Westminster, CA
• Providers in Westminster, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.