BAOKHANH NGUYEN (NPI# 1093091472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093091472 |
| Entity Type | Individual |
| Full Name | BAOKHANH NGUYEN |
| Credential | DDS |
| Practice Address |
827 Blossom Hill Rd Ste W4 San Jose CA 95123-2701 |
| Practice Telephone | 4082263000 |
| Practice Fax Number | 4082269868 |
| Mailing Telephone | 4082263000 |
| Mailing Fax Number | 4082269868 |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2019-08-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
52901 | CA | Dental Providers |
| Street Address |
827 BLOSSOM HILL RD STE W4 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95123-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700441045 | Calvin Patrick Nell | Chiropractor | 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 | 2019-05-02 |
| 1629557152 | Jia Tian | Dentist | 393 Blossom Hill Rd Ste 150, San Jose, CA 95123 | 2018-08-06 |
| 1003306176 | Western Dental Services, Inc. | Dentist | 451 Blossom Hill Rd Suite 20, San Jose, CA 95123 | 2018-05-15 |
| 1871004945 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5411 Thornwood Dr, San Jose, CA 95123 | 2017-10-17 |
| 1437672953 | Mie Mie Chiu | Dietitian, Registered | 276 Palm Valley Blvd #205, San Jose, CA 95123 | 2017-07-18 |
| 1902335300 | Alfredo Fernandez | Counselor | 5898 Paddon Circle, San Jose, CA 95123 | 2017-06-08 |
| 1780115444 | Christopher Vi Tran | Case Manager/Care Coordinator | 5579 Lean Avenue, San Jose, CA 95123 | 2017-03-24 |
| 1205370004 | Linxi Wu | Acupuncturist | 6064 Cahalan Ave, San Jose, CA 95123 | 2016-12-13 |
| 1013307651 | Kevin Dizon | Dental Hygienist | 6071 Sunstone Drive, San Jose, CA 95123 | 2015-02-04 |
| 1285031294 | Katie Tran | Dental Assistant | 524 Glenburry Way, San Jose, CA 95123 | 2014-11-20 |
| Find all providers in zip 95123 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281141 | Guneet Kaur-kohli Kainth | Dentist | 1087 Quail Creek Cir, San Jose, CA 95120-4166 | 2020-06-30 |
| 1992264295 | Karina Carrou Lee | Dentist | 1095 E Brokaw Rd Ste 40, San Jose, CA 95131-2321 | 2019-03-16 |
| 1447733407 | Jonathan Michael Drew | Dentist | 3240 Finch Dr, San Jose, CA 95117-3512 | 2018-09-14 |
| 1942662457 | Phan, Rawlins & Lyons Dds Inc | Dentist | 6942 Almaden Expy # 11, San Jose, CA 95120-3201 | 2016-03-23 |
| 1902248966 | Jason Chun-sheng Hsieh | Dentist | 1040 Avondale St, San Jose, CA 95129-2801 | 2013-07-19 |
| 1699034017 | Eric Phelps, Dds, Ms and Jason Cohen, Dds, N | Dentist | 2075 Forest Ave., Ste. 2, San Jose, CA 95128-4812 | 2012-05-04 |
| 1023329091 | Michael L Stepovich | Dentist | 4110 Moorpark Ave Ste G, San Jose, CA 95117-1712 | 2010-06-24 |
| 1598996035 | Linda Huynh | Dentist | 5595 Winfield Blvd Ste 206, San Jose, CA 95123-1220 | 2009-07-31 |
| 1619122751 | Chandra Thanh-chuong Pham | Dentist | 3270 Landess Ave, San Jose, CA 95132-1230 | 2008-11-17 |
| 1316191893 | Christopher Corsa | Dentist | 4010 Moorpark Ave Ste 105, San Jose, CA 95117 | 2008-11-10 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.