Organization Active NPI

Lora Dung Huynh, D.D.S., Inc.

  • General Practice Dentistry
  • Rohnert Park, CA
National Provider Identifier
1962577205
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47733 Issued in CA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.