Kha Vu Nguyen Nguyen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE61179107 Issued in WA

Practice address

4311 NE Sunset Blvd
Renton, WA 98059-4011

Phone

(425) 235-7900

NPI assigned

Jul 13, 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

Other names 1

• Kha V Nguyen Professional name

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.

• Advanced Dentistry

  • Dentist
  • Renton, WA
  • NPI 1275472755
  NPD (past)

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1457923252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17202 AURORA AVE N APT 525",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981335359",
            "telephone_number": "253-282-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 NE SUNSET BLVD",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980594011",
            "telephone_number": "425-235-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KHA VU NGUYEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61179107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHA",
            "last_name": "NGUYEN",
            "middle_name": "V",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ha Thu Nguyen, M.A.
• Hanh Q Nguyen, PHARMD
• Jenny Nguyen, LPN
• Julia Nguyen
• Juliet Nguyen
• Khue Dung Lucy Nguyen, MD
• Leah Phuong L Nguyen, PHARMD
• Lien Thi Nguyen, RDH
• Long Van Hai Nguyen, DO
• Luke-Hieu Quang Nguyen, DDS, MSD

• Dentist in Renton, WA
• Providers in Renton, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.