NPIMap

Organization Active NPI

Phuongtrinh Nguyen, DDS, Apc

  • General Practice Dentistry
  • Long Beach, CA
National Provider Identifier
1972720845
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40101 Issued in CA
Legal business name
PHUONGTRINH NGUYEN, DDS, APC
Practice address
2150 E South St
Suite 116
Long Beach, CA 90805-4457
Phone
(562) 531-9779
Fax
(562) 531-9778
NPI assigned
Apr 20, 2007
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. Phuongtrinh N Nguyen, DDSNPI 1477657534
Title
President
Phone
(562) 531-9779

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 40101 CA Primary

Addresses

Primary practice location

2150 E South St
Suite 116
Long Beach, CA 90805-4457

Mailing address

2150 E South St
Suite 116
Long Beach, CA 90805-4457
Phone (562) 531-9779

Other names 1

  • DTT Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

2150 E South St
Ste 116
Long Beach, CA 90805
Phone (562) 531-9779

Practitioners & affiliated clinicians

Practitioners 5

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": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972720845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 E SOUTH ST",
            "address_2": "SUITE 116",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054457",
            "telephone_number": "562-531-9779",
            "fax_number": "562-531-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 E SOUTH ST",
            "address_2": "SUITE 116",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054457",
            "telephone_number": "562-531-9779",
            "fax_number": "562-531-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHUONGTRINH NGUYEN, DDS, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PHUONGTRINH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-531-9779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DTT Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, 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.