Keith Nguyen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62196 Issued in KS

Practice address

204 Tuttle Creek Blvd Ste 110
Manhattan, KS 66502-6606

Phone

(785) 560-6078

NPI assigned

Apr 15, 2021

Last updated

Sep 25, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Revere Health LLC

  • General Practice Dentistry
  • Manhattan, KS
  • NPI 1811789035
  NPD
• H L Sugg DDS PA

  dba Wheatland Dental Care

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1689809568
  NPD (past)

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1134700883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 TUTTLE CREEK BLVD STE 110",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665026606",
            "telephone_number": "785-560-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 TUTTLE CREEK BLVD STE 110",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665026606",
            "telephone_number": "785-560-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-15",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37149",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "62196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neuroscience & Rehabilitation Associates, LLC
• Kyle Dale Nevills, CRNA, DNP, NSPM-C
• Michael Lynn Newcomer, M.D.
• Carl T Newman, M.D.
• Deborah Newton, LSCSW
• Nathan Nguyen
• Nichols Chiropractic, PA (Nichols Chiropractic and Functional Medicine)
• Nichols PT & Wellness LLC
• Jarrod L Nichols, D.C.
• Travis J Nichols, DPT

• General Practice Dentistry in Manhattan, KS
• Providers in Manhattan, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.