Organization Active NPI

Kevin Nguyen DDS PLLC

  • Clinic/Center
  • Woodbridge, VA
National Provider Identifier
1073799177
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KEVIN NGUYEN DDS PLLC
Practice address
14130 Noblewood PLZ
207
Woodbridge, VA 22193-1464
Phone
(703) 878-9000
NPI assigned
Jan 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Kevin NguyenNPI 1407913585
Title
DDS
Phone
(703) 878-9000

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
Clinic/Center 261Q00000X VA Primary

Addresses

Primary practice location

14130 Noblewood PLZ
207
Woodbridge, VA 22193-1464

Mailing address

14130 Noblewood PLZ
207
Woodbridge, VA 22193-1464
Phone (703) 878-9000

National Provider Directory

National Provider Directory

Locations

14130 Noblewood Plz
Ste 207
Woodbridge, VA 22193
Phone (703) 878-9000

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": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1073799177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14130 NOBLEWOOD PLZ",
            "address_2": "207",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931464",
            "telephone_number": "703-878-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14130 NOBLEWOOD PLZ",
            "address_2": "207",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931464",
            "telephone_number": "703-878-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN NGUYEN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "703-878-9000"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.