Organization Active NPI

Kevin Q Nguyen-Khoa PLLC

  • Podiatrist
  • Arlington, TX
National Provider Identifier
1144584210
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1396 Issued in TX
Legal business name
KEVIN Q NGUYEN-KHOA PLLC
Practice address
1327 E Pioneer Pkwy
Arlington, TX 76010-5868
Phone
(817) 265-1595
NPI assigned
Jul 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Authorized official

Name
Kevin Q Nguyen-Khoa
Title
Doctor
Phone
(817) 265-1595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 1396 TX Primary

Addresses

Primary practice location

1327 E Pioneer Pkwy
Arlington, TX 76010-5868

Mailing address

1327 E Pioneer Pkwy
Arlington, TX 76010-5868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120731000295 TX Part B Supplier - Clinic/Group Practice 9133385438 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, TX

National Provider Directory

National Provider Directory

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": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1144584210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 E PIONEER PKWY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760105868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 E PIONEER PKWY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760105868",
            "telephone_number": "817-265-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN Q NGUYEN-KHOA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "NGUYEN-KHOA",
        "authorized_official_first_name": "KEVIN Q",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "817-265-1595"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.