Kim Anh Thi Nguyen, DMD, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KIM ANH THI NGUYEN, DMD, INC.

Practice address

11828 Rancho Bernardo Rd
Ste 203
San Diego, CA 92128-1912

Phone

(858) 798-5153

Fax

(844) 270-1453

NPI assigned

Nov 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kim Anh Thi Nguyen, D.M.D.NPI 1013143429

Title

President

Phone

(858) 798-5153

Specialties & licenses 1

Addresses

Other names 1

• Smileinsight Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim Anh Thi Nguyen, DMD

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1013143429
  NPD (past) Authorized official

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1174997936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11828 RANCHO BERNARDO RD",
            "address_2": "STE 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921281912",
            "telephone_number": "858-798-5153",
            "fax_number": "844-270-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11828 RANCHO BERNARDO RD",
            "address_2": "STE 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921281912",
            "telephone_number": "858-798-5153",
            "fax_number": "844-270-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM ANH THI NGUYEN, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KIM ANH",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-798-5153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smileinsight Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beverly Ann Kilman, PHD
• Aaron Kilroy
• Irene Frances Kilstrom, LVN
• Shannon Kilty, RD
• Kim Ajlouny, Psy.D.
• Kim Hui MD
• Olivia Kim McManus, M.D.
• Kim Physical Therapy Associates, PC
• Abraham Kim
• Alex Hwan Kim, DPM

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.