Active NPI
Hoa Thi Kim Nguyen, D.D.S.
- Dentist
- Van Nuys, CA
National Provider Identifier
1174771893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 57402
- Practice address
- 17205 Strathern St
Van Nuys, CA 91406-1020 - Phone
- (818) 621-3464
- NPI assigned
- Sep 5, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 57402 | CA | Primary |
Addresses
Primary practice location
17205 Strathern St
Van Nuys, CA 91406-1020
Mailing address
17205 Strathern St
Van Nuys, CA 91406-1020
Phone (818) 621-3464
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 |
|---|---|---|---|
| 57402 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1174771893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17205 STRATHERN ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914061020",
"telephone_number": "818-621-3464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17205 STRATHERN ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914061020",
"telephone_number": "818-621-3464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "HOA",
"middle_name": "THI KIM",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-05",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "57402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.