John Kim Nguyen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

7810 Issued in NV

Practice address

4380 Blue Diamond Rd Ste 102
Las Vegas, NV 89139-7786

Phone

(702) 425-4424

NPI assigned

May 22, 2023

Last updated

May 22, 2023By 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

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://epicproxy.et1079.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Pacific Dental Services

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1336541101
  NPD (past)
• Watanabe Diamond Dental Group, Professional Corporation

  dba Diamond Dental Group

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1588842702
  NPD (past)

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1407548399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10946 GAELIC HILLS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891414392",
            "telephone_number": "480-241-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 BLUE DIAMOND RD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397786",
            "telephone_number": "702-425-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JOHN",
        "middle_name": "KIM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Nguyen
• Jenny Nguyen
• Jenny Ly Nguyen
• Jeremy H Nguyen, RPH
• Jessica Nguyen, PHARM.D.
• Juliana Thu Nguyen
• Justin Kim Nguyen, DMD
• Karine Nathalie Nguyen
• Kathy Nguyen, PHARMD
• Kelli Ngoc Nguyen

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.