Active NPI
Kim Phuong Nguyen, D.D.S
- Dentist
- Hopewell, VA
National Provider Identifier
1043432891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401411259
- Practice address
- 5303 Plaza Drive
Suite 103
Hopewell, VA 23860 - Phone
- (804) 458-5047
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401411259 | VA | Primary |
Addresses
Primary practice location
5303 Plaza Drive
Suite 103
Hopewell, VA 23860
Mailing address
1502 Peachtree Boulevard
Richmond, VA 23226
Phone (804) 658-5308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401411259 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sam E English | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Hopewell, VA
- NPI 1568585727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043432891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 PEACHTREE BOULEVARD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23226",
"telephone_number": "804-658-5308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5303 PLAZA DRIVE",
"address_2": "SUITE 103",
"city": "HOPEWELL",
"state": "VA",
"postal_code": "23860",
"telephone_number": "804-458-5047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KIM",
"middle_name": "PHUONG",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401411259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hopewell, VA
- Vincent J Negrelli, PHARMD
- David Michael Neifeld, M.D.
- New Direction Supportive Services
- New Growth Child and Family Services, LLC
- New Triumph Recovery and Restoration LLC
- Nichols Roadway LLC
- Lilian Okafor, NURSE PRACTITIONER
- Benedicta Okoroafor
- Outstanding Hope Health Restore Care Center, PLLC
- Julianna Jones Paczewski
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.