Active NPI
Lora Dung Huynh, D.D.S., Inc.
- General Practice Dentistry
- Rohnert Park, CA
National Provider Identifier
1962577205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 47733
- Legal business name
- LORA DUNG HUYNH, D.D.S., INC.
- Practice address
- 1331 Medical Center Dr Ste H
Rohnert Park, CA 94928-2900 - Phone
- (707) 585-8599
- Fax
- (707) 585-8281
- NPI assigned
- Nov 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dung Ngoc Huynh, D.D.S.
- Title
- President
- Phone
- (408) 981-0709
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 47733 | CA | Primary |
Addresses
Primary practice location
1331 Medical Center Dr Ste H
Rohnert Park, CA 94928-2900
Mailing address
639 Azevedo CT
Santa Clara, CA 95051-6201
Phone (408) 981-0709
National Provider Directory
National Provider DirectoryLocations
1331 Medical Center Dr
Ste H
Rohnert Park, CA 94928
Phone (707) 585-8599
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Sunnyvale, CA
- NPI 1326439951
-
- General Practice Dentistry
- Rohnert Park, CA
- NPI 1841361110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962577205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 AZEVEDO CT",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950516201",
"telephone_number": "408-981-0709",
"fax_number": "408-288-7780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 MEDICAL CENTER DR STE H",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949282900",
"telephone_number": "707-585-8599",
"fax_number": "707-585-8281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LORA DUNG HUYNH, D.D.S., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HUYNH",
"authorized_official_first_name": "DUNG",
"authorized_official_middle_name": "NGOC",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "408-981-0709",
"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": "47733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rohnert Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.