Kim Loan Nguyen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18756 Issued in TX

Practice address

1560 Eldridge Parkway
Ste 170
Houston, TX 77077

Phone

(281) 759-1277

Fax

(281) 759-1557

NPI assigned

Oct 17, 2006

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

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smile Image PA

  • General Practice Physician
  • Houston, TX
  • NPI 1861562670
  NPD (past) Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1295815991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 ELDRIDGE PARKWAY",
            "address_2": "STE 170",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77077",
            "telephone_number": "281-759-1277",
            "fax_number": "281-759-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 ELDRIDGE PARKWAY",
            "address_2": "STE 170",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77077",
            "telephone_number": "281-759-1277",
            "fax_number": "281-759-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KIM",
        "middle_name": "LOAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138358012",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khoa Don Nguyen, MD
• Khoinguyen T Nguyen, M.D.
• Khuyen Kim Nguyen
• Kim Nguyen
• Kim Hoang Nguyen, D.D.S.
• Kim Mai Nguyen, O.D.
• Kim Sang Thi Nguyen, PHARMD
• Kim Xuan Thi Nguyen, D.C.
• Kim-Dan Phan Nguyen, O.D.
• Kim-Phuong Thi Nguyen, M.D.

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.