Calvin Kieu

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DDS104723 Issued in CA

Practice address

10130 Warner Ave Ste I
Fountain Valley, CA 92708-1619

Phone

(714) 965-9553

NPI assigned

Sep 2, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kieu Orthodontics

  • Dental Clinic/Center
  • Fountain Valley, CA
  • NPI 1386402295
  NPD Authorized official
• Kevin Kieu DDS,Ms,Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fountain Valley, CA
  • NPI 1972715423
  NPD (past)

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1265100325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10130 WARNER AVE STE I",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 WARNER AVE STE I",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081619",
            "telephone_number": "714-965-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEU",
        "first_name": "CALVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "DDS104723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khong Anesthesia, a Professional Nursing Corporation
• Tommy Khuong
• Penelope Kibler
• Kidney Care Associates Inc.
• Kieu Orthodontics
• Chan Q. Kieu, M.D.
• Kevin Nam Kieu, D.D.S., M.S.
• Toquynh Dinh Kieu, M.D.
• Kim & Kim DDS Dental Corporation
• Michael H. Kim-Orden, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.