Active NPI
Kevin Kim Nguyen, DMD
- Dentist
- Orlando, FL
National Provider Identifier
1083390140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN28088
- Practice address
- 7575 Dr Phillips Blvd Ste 160
Orlando, FL 32819-7220 - Phone
- (407) 363-0365
- NPI assigned
- Jun 23, 2023
- Sex
- Male
- 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 | DN28088 | FL | Primary |
Addresses
Primary practice location
7575 Dr Phillips Blvd Ste 160
Orlando, FL 32819-7220
Mailing address
6239 Camp Lee Rd
West Palm Beach, FL 33417-5570
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 |
|---|---|---|---|
| DN28088 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1083390140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6239 CAMP LEE RD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334175570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7575 DR PHILLIPS BLVD STE 160",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328197220",
"telephone_number": "407-363-0365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KEVIN",
"middle_name": "KIM",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-23",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN28088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.