Ky Nguyen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

101552 Issued in CA

Practice address

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

Phone

(408) 223-9228

NPI assigned

Jul 18, 2017

Last updated

Mar 31, 2021By the provider in NPPES

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

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

• Ky Nguyen DDS Inc

  dba iCare Dental

  • Dental Clinic/Center
  • San Jose, CA
  • NPI 1194303115
  NPD Authorized official

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1376066761",
    "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": [
        {
            "address_1": "780 1st St",
            "address_purpose": "LOCATION",
            "city": "Gilroy",
            "state": "CA",
            "postal_code": "950204972",
            "country_code": "US",
            "telephone_number": "408-796-3110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-18",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Nguyen
• Kimberly Thien Nguyen
• Kimchi Thi Nguyen, DDS
• Kristina Nguyen
• Kristine Nguyen
• Lai Duc Nguyen, D.C.
• Lam Nguyen, D.C.
• Lam Duc Nguyen, BA, MSTM, DTEFL
• Lam Son Nguyen
• Lan T Nguyen, DDS

• Dentist in San Jose, CA
• Providers in San Jose, CA by specialty
• Dentist in California

• 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.