DERIC NGUYEN DDS
NPI 1164260568
Dentist in Santa Rosa, CA

Q: What is Deric Nguyen's NPI number?

The NPI number for Deric Nguyen is 1164260568. It was assigned to this individual provider in the NPPES registry on July 18, 2024.

Q: What is Deric Nguyen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Deric Nguyen was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 18, 2024

3462 MENDOCINO AVE, SANTA ROSA, CA 95403(707) 508-7095 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2025, Jul 18, 2024 (2 updates tracked since 2024).

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About Deric Nguyen Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERIC NGUYEN DDS (NPI 1164260568) is an individual dentist in Santa Rosa, California, licensed in California (DDS112460) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1164260568

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDERIC NGUYENCredential: DDS

Location Address3462 MENDOCINO AVESanta Rosa, CA 95403-2214

Mailing Address3462 Mendocino AveSanta Rosa, CA 95403-2214 · (707) 508-7095

Phone(707) 508-7095

Sole ProprietorYes

Enumeration DateJuly 18, 2024

Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration

NPPES CertifiedNovember 6, 2025

✔ NPI 1164260568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · DDS112460

Definition

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.

3462 MENDOCINO AVE, Santa Rosa, CA 95403

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deric Nguyen's NPI number?

The NPI number for Deric Nguyen is 1164260568. It was assigned to this individual provider in the NPPES registry on July 18, 2024.

Where is Deric Nguyen located?

Deric Nguyen practices at 3462 Mendocino Ave, Santa Rosa, CA 95403. The listed phone number is (707) 508-7095.

What is Deric Nguyen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Deric Nguyen accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 2 other insurers list Deric Nguyen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deric Nguyen was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.