Active NPI
Thang Quoc Nguyen
- Dentist
- San Jose, CA
National Provider Identifier
1962129239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 107731
- Practice address
- 1600 Willow St Ste 203
San Jose, CA 95125-5117 - Phone
- (408) 444-7941
- NPI assigned
- Oct 26, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 107731 | CA | Primary |
Addresses
Primary practice location
1600 Willow St Ste 203
San Jose, CA 95125-5117
Mailing address
2753 Whispering Hills Dr
San Jose, CA 95148-3445
Phone (408) 786-6413
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
| License | State | Type | Specialty |
|---|---|---|---|
| 107731 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1962129239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2753 WHISPERING HILLS DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951483445",
"telephone_number": "408-786-6413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 WILLOW ST STE 203",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951255117",
"telephone_number": "408-444-7941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THANG",
"middle_name": "QUOC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-26",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "107731",
"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 Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.