Johnny Kim Nguyen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23417 Issued in TX

Practice address

11595 S Wilcrest Dr
Suite B
Houston, TX 77099-4700

Phone

(281) 982-5200

NPI assigned

Jul 27, 2007

Last updated

Mar 9, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

• Johnny Nguyen DDS PA

  • General Practice Dentistry
  • Houston, TX
  • NPI 1164693040
  Authorized official Same address or phone
• Swan Dental PLLC

  • General Practice Dentistry
  • Sugar Land, TX
  • NPI 1841740602
  NPD (past) Authorized official

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1467642348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 MARQUETTE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770053521",
            "telephone_number": "832-620-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11595 S WILCREST DR",
            "address_2": "SUITE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994700",
            "telephone_number": "281-982-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JOHNNY",
        "middle_name": "KIM",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Le Nguyen, D.C.
• John Ngoc Nguyen, APRN
• John Tuan Nguyen, M.D.
• Johnny Nguyen
• Johnny Khoa Nguyen, DO
• Jolie Nguyen
• Jolin Nguyen
• Jonathan Nguyen, PA-C
• Joseph Christ Nguyen
• Joseph Dinh Nguyen, D.D.S.

• 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 Mar 9, 2015; 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.