KELLY NGUYEN


Address: 17781 Santiago Blvd, Orange, CA 92861-4134
Phone: 7149749000

KELLY NGUYEN (NPI# 1982180493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982180493
Entity Type Individual
Full Name KELLY NGUYEN
Practice Address 17781 Santiago Blvd
Orange
CA 92861-4134
Mailing Address 803 Polaris Dr
Tustin
CA 92782-1721
Practice Telephone 7149749000
Enumeration Date 2018-07-17
Last Update Date 2018-07-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
102371 CA Dental Providers

Other Providers KELLY NGUYEN

NPI Name Taxonomy Address Enumeration
1508407412 Kelly Nguyen Physical Therapist 323 N Euclid St Spc 42, Santa Ana, CA 92703-3042 2019-10-02
1427457472 Kelly Nguyen Pharmacist 106 Lac Felicity Dr, Luling, LA 70070-4280 2014-08-15
1972787182 Kelly Nguyen Pharmacist 1206 Buchanan Dr, Santa Clara, CA 95051-3963 2007-12-24
1922608025 Kelly Trang Nguyen Pharmacist 440 Atlanta Hwy Nw, Winder, GA 30680-7826 2020-10-28
1801410543 Kelly Tram Anh Nguyen Dentist 5065 University Pkwy, Winston Salem, NC 27106-6083 2020-05-28
1528521408 Kelly Nguyen Physician Assistant 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 2019-04-09
1639634991 Kelly Nguyen Behavior Technician 17284 Newhope St Ste 212, Fountain Valley, CA 92708-8201 2019-01-31
1023589587 Kelly Dam Nguyen Marriage & Family Therapist 12912 Brookhurst St Ste 480, Garden Grove, CA 92840-4867 2018-12-10
1699242693 Kelly Kim Nguyen Pharmacist 17779 Lower Boones Ferry Rd, Lake Oswego, OR 97035-5237 2018-10-28
1235635418 Kelly Kim Nguyen Dentist 339 E Leland Rd, Pittsburg, CA 94565-4911 2018-04-05

Office Location

Street Address 17781 SANTIAGO BLVD
City ORANGE
State CA
Zip Code 92861-4134

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528615127 Jospeh A Ropel Technician 9492 Brynmar Dr, Villa Park, CA 92861 2019-08-20
1982027868 Junn Yann Chang General Practice 9431 Featherhill Dr., Villa Park, CA 92861 2014-01-28
1679830749 Arnold Philip Deutsch Psychiatry & Neurology 10141 Morning Star Circle, Villa Park, CA 92861 2012-04-13
1558594994 Richard Lyle Goldman Obstetrics & Gynecology 18892 Patrician Dr., Villa Park, CA 92861 2009-09-02
1871600395 James Patrick Furcolow Optometrist 17829 Santiago Blvd, Villa Park, CA 92861 2006-08-23
1649540352 Elaine R Collins Marriage & Family Therapist 17817 Santiago Blvd, Villa Park Medical, Villa Park, CA 92861 2012-01-11
1619597671 Harry Eisenbach Family Medicine 9312 Smoketree Ln, Villa Park, CA 92861-1011 2020-04-20
1154668457 Warren Harmon Fox Specialist 9681 Crestview Cir, Villa Park, CA 92861-1311 2013-01-08
1053654269 Kristen Michele Fuller Student in an Organized Health Care Education/Training Program 9461 Featherhill Dr, Villa Park, CA 92861-2613 2013-04-05
1316088529 Sam Joseph Poidmore Dentist 18152 Pamela Pl, Villa Park, CA 92861-2626 2007-02-09
Find all providers in zip 92861

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598996126 R.e. Mayer, D.d.s., P.C. Dentist 2901 E. Katella Avenue, Suite A, Orange, CA 92886 2009-07-30
1710103486 Sage Monroe Humphries Dentist 725 W La Veta Ave Ste 120, Orange, CA 92868-4445 2007-04-18
1538226121 Orfan Chalabi Dentist 1501 E Katella Ave, Orange, CA 92867-5025 2007-01-02
1760540942 Giancarlo G Tassara Dentist 1111 W Town and Country Rd Ste 46, Orange, CA 92868-4667 2006-12-04
1619056736 Justin S Hong Dentist 665 N Tustin St Ste U, Orange, CA 92867-7148 2006-11-02
1396151387 Gowhar Iravani Dentist 530 S Main St, Orange, CA 92868-4525 2014-07-10
1710303466 Kelley Dunay, Dmd, P.C. Dentist 530 S Main St, Orange, CA 92868-4525 2014-03-05
1770803033 Oresta L Bilous Dmd,llc Dentist 185 Boston Post Rd, Orange, CT 06477-3200 2010-06-09
1609016146 Oresta Bilous Dentist 185 Boston Post Rd, Orange, CT 06477-3200 2009-02-24
1912145210 Douglas Rollins Dmd,pc Dentist 185 Boston Post Rd, Orange, CT 06477-3200 2009-01-26
Find all providers in ORANGE

Competitor

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City ORANGE
Zip Code 92861

Improve Information

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Dataset Information

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.

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