Active NPI
Tan Nghiem DDS Inc
- Dentist
- Garden Grove, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- TAN NGHIEM DDS INC
- Doing business as
- SUNCOAST DENTAL SPECIALISTS
- Practice address
- 12130 Brookhurst St
Garden Grove, CA 92840-2817 - Phone
- (714) 867-6226
- Fax
- (714) 638-7114
- NPI assigned
- Feb 25, 2020
- Organization subpart
- Yes
- Parent organization
- TAN NGHIEM DDS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tan Trung Nghiem, DDS
- Title
- President
- Phone
- (714) 800-9483
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
12130 Brookhurst St
Garden Grove, CA 92840-2817
Mailing address
12130 Brookhurst St
Garden Grove, CA 92840-2817
Phone (714) 867-6226
Other names 1
- SUNCOAST DENTAL SPECIALISTS
National Provider Directory
National Provider Directory- Part of
- Tan Nghiem DDS Inc
Locations
12130 Brookhurst St
Garden Grove, CA 92840
Phone (714) 867-6226
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Practice Dentistry
- Garden Grove, CA
- NPI 1760780910
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Santa Ana, CA
- NPI 1164679379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582588800000",
"number": "1962036343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12130 BROOKHURST ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928402817",
"telephone_number": "714-867-6226",
"fax_number": "714-638-7114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12130 BROOKHURST ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928402817",
"telephone_number": "714-867-6226",
"fax_number": "714-638-7114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAN NGHIEM DDS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TAN NGHIEM DDS INC",
"enumeration_date": "2020-02-25",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A",
"authorized_official_last_name": "NGHIEM",
"authorized_official_first_name": "TAN",
"authorized_official_middle_name": "TRUNG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-800-9483",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SUNCOAST DENTAL SPECIALISTS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.