Song Ha Nguyen

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7598 Issued in NV

Practice address

4080 N MLK Blvd
North Las Vegas, NV 89032-3216

Phone

(702) 903-2127

NPI assigned

Sep 3, 2021

Sex

Female

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

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.

• Koolsmiles Dental Corporation

  • General Practice Dentistry
  • North Las Vegas, NV
  • NPI 1972170389
  NPD (past)
• Sugar Smiles LLC

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1720504566
  NPD (past)
• Sheila N Harris, DDS Inc

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1831675966
  NPD (past)

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1275201188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12013 GIRASOLE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891384657",
            "telephone_number": "678-862-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 N MLK BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890323216",
            "telephone_number": "702-903-2127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5670 W Flamingo Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891032338",
            "country_code": "US",
            "telephone_number": "702-364-2373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1975 W Craig Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890320332",
            "country_code": "US",
            "telephone_number": "702-220-4266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SONG HA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimchi Nguyen
• Loida Dominguez Nguyen, PHARM.D.
• Nam N Nguyen, M.D.
• Phillip H Nguyen
• Phung K Nguyen, DDS
• Steve H Nguyen, DMD
• Thuy Thi Nguyen
• Trang Viet Doan Nguyen, RRT
• Trinh P Nguyen, D.D.S.
• Jessica Ngwayah, PHARMD

• General Practice Dentistry in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.