MRS. PHUNG KIM NGUYEN (NPI# 1891714754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891714754 |
| Entity Type | Individual |
| Full Name | MRS. PHUNG KIM NGUYEN |
| Credential | D.D.S. |
| Practice Address |
2114 Senter #25 San Jose CA 95112 |
| Practice Telephone | 4082792114 |
| Practice Fax Number | 4082791828 |
| Mailing Telephone | 4082792114 |
| Mailing Fax Number | 4082791828 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2009-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 44749 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
44749 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TAX ID | 421592283 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497386197 | Phung Thien Nguyen | Pharmacist | 9800 Belvoir Rd, Ft Belvoir, VA 22060-5564 | 2020-01-31 |
| 1295255735 | Phung Tp Nguyen | Acupuncturist | 200 Serra Way Ste 16, Milpitas, CA 95035-5245 | 2017-06-26 |
| 1558817056 | Phung Nguyen | Case Manager/Care Coordinator | 3131 Sw 89th St Apt 15103, Oklahoma City, OK 73159-7951 | 2016-08-25 |
| 1225376254 | Phung Thi Nguyen | Pharmacist | 1101 Bloomingdale Ave, Valrico, FL 33596-6108 | 2013-01-25 |
| 1326196734 | Phung Dinh Nguyen | Allergy & Immunology | 2905 Milam St, Houston, TX 77006-3609 | 2007-01-08 |
| 1174613814 | Phung K Nguyen | Dentist | 3315w Craig Rd, 108, North Las Vegas, NV 89032 | 2006-10-13 |
| 1194296160 | Phung Duy Nguyen | Pharmacist | 1891 Barataria Blvd, Marrero, LA 70072-4203 | 2018-12-16 |
| 1912446063 | Phung Nguyen | Nurse Practitioner | 3930 S Alma School Rd, Chandler, AZ 85248-4510 | 2017-02-21 |
| 1801332424 | Phung Duc Nguyen | Psychiatry & Neurology | 19225 Us Highway 27, Clermont, FL 34715-9025 | 2017-01-07 |
| 1154734358 | Phung Nguyen | Pharmacist | 4200 Chino Hills Pkwy Ste 500, Chino Hills, CA 91709-3779 | 2014-06-04 |
| Street Address |
2114 SENTER #25 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
| 1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
| 1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
| 1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
| 1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
| Find all providers in zip 95112 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961359 | Tony Tataro | Dentist | 5700 Village Oaks Dr Apt 1222, San Jose, CA 95123-3771 | 2020-10-29 |
| 1306445689 | Vu Anh Tran | Dentist | 45 Via De Guadalupe, San Jose, CA 95116-2561 | 2020-10-19 |
| 1538775028 | Meera Sravan Kumar | Dentist | 451 Blossom Hill Rd Ste 20, San Jose, CA 95123-1658 | 2020-09-20 |
| 1750993937 | Ana Gloria Saint-hilaire | Dentist | 4676 Mia Cir, San Jose, CA 95136-2341 | 2020-08-19 |
| 1134746779 | Woodlief Dentistry & Associates, PC | Dentist | 750 N Capitol Ave Ste A2, San Jose, CA 95133-1902 | 2020-06-30 |
| 1871120485 | Brittany Chou | Dentist | 136 Birch Ln, San Jose, CA 95127-2310 | 2020-03-24 |
| 1164054235 | Amritha Raghunath Minisandram | Dentist | 7058 Heartland Way, San Jose, CA 95135-2234 | 2020-02-06 |
| 1124582580 | Mahsa Esfandiari | Dentist | 1706 Morocco Dr, San Jose, CA 95125-5823 | 2019-01-29 |
| 1689138547 | Quan Phuong Huynh | Dentist | 1855 Alum Rock Ave Ste B, San Jose, CA 95116-1398 | 2019-01-24 |
| 1790257848 | Sandra P. Lara Dds . Inc | Dentist | 1360 N Winchester Blvd Ste 3, San Jose, CA 95128-1150 | 2018-12-28 |
| 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.