Active NPI
Keith Ky Khuu, DDS
- General Practice Dentistry
- Mountain View, CA
National Provider Identifier
1124240460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 45718
- Practice address
- 889 Castro St
Mountain View, CA 94041-2014 - Phone
- (650) 969-5488
- Fax
- (650) 969-7546
- NPI assigned
- May 3, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 45718 | CA | Primary |
Addresses
Primary practice location
889 Castro St
Mountain View, CA 94041-2014
Mailing address
120 Conifer Lane
Walnut Creek, CA 94598
Phone (714) 675-0915
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 |
|---|---|---|---|
| 45718 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258934400000",
"number": "1124240460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 CONIFER LANE",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "94598",
"telephone_number": "714-675-0915",
"fax_number": "650-969-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "889 CASTRO ST",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940412014",
"telephone_number": "650-969-5488",
"fax_number": "650-969-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHUU",
"first_name": "KEITH",
"middle_name": "KY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2009-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "45718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.