Individual provider Active NPI

Kien Vinh Nham, DO

  • Family Medicine Physician
  • Arlington, TX
National Provider Identifier
1063115905
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
W2331 Issued in TX
Practice address
6507 S Cooper St Ste 105
Arlington, TX 76001-5818
Phone
(817) 466-9100
Fax
(817) 466-9410
NPI assigned
Mar 22, 2023
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X W2331 TX Primary

Addresses

Primary practice location

6507 S Cooper St Ste 105
Arlington, TX 76001-5818

Mailing address

1215 Hidden Creek Dr
Mansfield, TX 76063-6211
Phone (682) 347-6443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230620003175 TX Order and Referring Only - Family PracticePractitioner - Family Practice 2668830852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Interoperability endpoints

  • Direct secure messaging: kien.nham@hca7.eclinicaldirectplus.com
  • Direct secure messaging: knham1089506@ahs.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1063115905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 HIDDEN CREEK DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636211",
            "telephone_number": "682-347-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 S COOPER ST STE 105",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760015818",
            "telephone_number": "817-466-9100",
            "fax_number": "817-466-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NHAM",
        "first_name": "KIEN",
        "middle_name": "VINH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-22",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "W2331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.