KELLY NGUYEN (NPI# 1982180493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
102371 | CA | Dental Providers |
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 |
Street Address |
17781 SANTIAGO BLVD |
City | ORANGE |
State | CA |
Zip Code | 92861-4134 |
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 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 |
---|---|---|---|---|
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 |
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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.