Kent N. DO., D.M.D., Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

51918 Issued in CA

Legal business name

KENT N. DO., D.M.D., INC.

Practice address

9368 Lombardi Avenue
Fountain Valley, CA 92708

Phone

(714) 376-3770

NPI assigned

Feb 7, 2013

Last updated

Feb 7, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kent Nam DO, D.M.D.NPI 1689733685

Title

President

Phone

(714) 376-3770

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kent Nam DO, DMD

  • Pediatric Dentistry
  • Santa Ana, CA
  • NPI 1689733685
  Authorized official Same address or phone

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1477892610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9368 LOMBARDI AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083439",
            "telephone_number": "714-376-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9368 LOMBARDI AVENUE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-376-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT N. DO., D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "NAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-376-3770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "51918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jyotsna Keni, M.D.
• Diane Elizabeth Kennedy, N.P.
• Kenneth R. Fineman PH.D Psych Corp
• Carolyn G Kennis, CRNA
• Kenny Quach DPM
• Allison Kerr
• James Kerr
• Laura Ketcham, BA
• Keun-Heng Huo, MD, Inc.
• Kevin Khai Tieu M D a Professional Corporation (Kevin Khai Tieu, MD PC)

• Pediatric Dentistry in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.