Organization Active NPI

Nguyen DMD PA

  • General Practice Dentistry
  • Wichita, KS
National Provider Identifier
1053659508
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7142 Issued in KS
Legal business name
NGUYEN DMD PA
Practice address
9415 E Harry St Ste 606
Wichita, KS 67207-5082
Phone
(316) 612-7777
Fax
(316) 612-7788
NPI assigned
Jan 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly Nguyen, DMDNPI 1376517821
Title
Dentist
Phone
(316) 612-7777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7142 KS Primary

Addresses

Primary practice location

9415 E Harry St Ste 606
Wichita, KS 67207-5082

Mailing address

9415 E Harry St Ste 606
Wichita, KS 67207-5082
Phone (316) 612-7777

National Provider Directory

National Provider Directory

Locations

9415 E Harry St
Ste 606
Wichita, KS 67207
Phone (316) 448-4250

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1053659508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 E HARRY ST STE 606",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075082",
            "telephone_number": "316-612-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 E HARRY ST STE 606",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075082",
            "telephone_number": "316-612-7777",
            "fax_number": "316-612-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "316-612-7777",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "7142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.