What is Deric Nguyen's NPI number?

Deric Nguyen's National Provider Identifier (NPI) is 1164260568, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Deric Nguyen's specialty?

Deric Nguyen is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Deric Nguyen located?

Deric Nguyen's practice location on file with NPPES is 3462 Mendocino Ave, Santa Rosa, CA 95403-2214.

What is Deric Nguyen's phone number?

The practice phone number listed in the NPPES registry for Deric Nguyen is (707) 508-7095.

Is Deric Nguyen's NPI active?

Yes — Deric Nguyen's NPI (1164260568) is active in the NPPES registry as of the last update on 2025-11-06.

IndividualActive

Deric Nguyen, DDS

NPI 1164260568 · Dentist · Santa Rosa, CA

Deric Nguyen, DDS is a Dentist provider in Santa Rosa, CA (NPI 1164260568).

Provider details

NPI number: 1164260568
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: DDS112460 (CA)

Specialties & taxonomies

DentistPrimary122300000XLicense DDS112460 (CA)
Dental Providers

Profile Score

Established profile(56/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3462 Mendocino Ave

Santa Rosa, CA 95403-2214

Phone: (707) 508-7095

Street-level locationGet directions

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Mailing address