Peter Dinh Nguyen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58300 Issued in CA

Practice address

88 Tully Road
#112
San Jose, CA 95111-1923

Phone

(408) 280-7618

Fax

(408) 766-7412

NPI assigned

Aug 14, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Frank D Tran DDS Professional Dental Corp.

  • Dental Clinic/Center
  • San Jose, CA
  • NPI 1649064767
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1972735660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 TULLY ROAD, #112",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111923",
            "telephone_number": "408-280-7618",
            "fax_number": "408-766-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 TULLY ROAD",
            "address_2": "#112",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111923",
            "telephone_number": "408-280-7618",
            "fax_number": "408-766-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PETER",
        "middle_name": "DINH",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-14",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58300",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oanh Nguyen
• Oanh Nhu Nguyen, DOCTOR OF PHARMACY
• Oanh T Nguyen, DDS
• Patty Phuong Nguyen, RPH
• Pauline Phuong Nguyen, D.D.S.
• Peter H. Nguyen, O.D.
• Phi Dinh Nguyen, M.D.
• Phi Hoang Nguyen
• Phi Tien Nguyen, PHARMD
• Philip An Nguyen, PA-C

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.