Organization Active NPI

Ky Nguyen DDS Inc

Doing business as iCare Dental

  • Dental Clinic/Center
  • San Jose, CA
National Provider Identifier
1194303115
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KY NGUYEN DDS INC
Doing business as
iCare Dental
Practice address
4055 Evergreen Village SQ Ste 240
San Jose, CA 95135-1750
Phone
(408) 223-9228
NPI assigned
Mar 31, 2021
Last updated
Mar 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Ky Nguyen, DMDNPI 1376066761
Title
Owner
Phone
(408) 223-9228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4055 Evergreen Village SQ Ste 240
San Jose, CA 95135-1750

Mailing address

4055 Evergreen Village SQ Ste 240
San Jose, CA 95135-1750
Phone (408) 223-9228

Other names 1

  • iCare Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4055 Evergreen Village Sq
Ste 240
San Jose, CA 95135
Phone (408) 223-9118

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1194303115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 EVERGREEN VILLAGE SQ STE 240",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351750",
            "telephone_number": "408-223-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 EVERGREEN VILLAGE SQ STE 240",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351750",
            "telephone_number": "408-223-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KY NGUYEN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-223-9228",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iCare Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.