Individual provider Active NPI

Hiep Thanh Nguyen, D.D.S.

  • General Practice Dentistry
  • Ontario, CA
National Provider Identifier
1992849020
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43472 Issued in CA
Practice address
2409 S Vineyard Ave
Suite D
Ontario, CA 91761-6401
Phone
(909) 923-9557
Fax
(909) 923-9946
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 43472 CA Primary

Addresses

Primary practice location

2409 S Vineyard Ave
Suite D
Ontario, CA 91761-6401

Mailing address

28302 Burns Ave
Highland, CA 92346-6401
Phone (951) 522-6630

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170220000134 CA Order and Referring Only - DentistPractitioner - Dentist 6103109012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992849020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28302 BURNS AVE",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923466401",
            "telephone_number": "951-522-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 S VINEYARD AVE",
            "address_2": "SUITE D",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917616401",
            "telephone_number": "909-923-9557",
            "fax_number": "909-923-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HIEP",
        "middle_name": "THANH",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.