Individual provider Active NPI

Ha Van Thi Nguyen, DDS

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1265028682
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7156 Issued in LA
Practice address
555 N King St Ste 111
Honolulu, HI 96817-4649
Phone
(808) 848-2400
NPI assigned
Dec 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7156 LA Primary

Addresses

Primary practice location

555 N King St Ste 111
Honolulu, HI 96817-4649

Mailing address

555 N King St Ste 111
Honolulu, HI 96817-4649
Phone (808) 848-2400

Other practice location 1

1100 Florida Ave Rm 4312H
New Orleans, LA 70119-2715
Phone (504) 941-8390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210518001544 LA Order and Referring Only - DentistPractitioner - Dentist 8628477916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Dental Health Services PastSince Aug 14, 2022 Accepting new patients
King'S Dental & Implant Service LLC General Practice PastSince Aug 14, 2022 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1608336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1265028682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N KING ST STE 111",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174649",
            "telephone_number": "808-848-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N KING ST STE 111",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174649",
            "telephone_number": "808-848-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Florida Ave Rm 4312H",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701192715",
            "country_code": "US",
            "telephone_number": "504-941-8390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HA VAN",
        "middle_name": "THI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-19",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.