Individual provider Active NPI

Nash Kiwan Malicdan, DDS

  • General Practice Dentistry
  • Flower Mound, TX
National Provider Identifier
1487359840
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42513 Issued in TX
Practice address
3401 Cross Timbers Rd Ste 100
Flower Mound, TX 75028-2900
Phone
(972) 532-6828
NPI assigned
Apr 4, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 42513 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3401 Cross Timbers Rd Ste 100
Flower Mound, TX 75028-2900

Mailing address

3401 Cross Timbers Rd Ste 100
Flower Mound, TX 75028-2900

Other practice location 1

2430 S Interstate 35 E Ste 178
Denton, TX 76205-4944
Phone (940) 213-2480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1487359840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CROSS TIMBERS RD STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 CROSS TIMBERS RD STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282900",
            "telephone_number": "972-532-6828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2430 S Interstate 35 E Ste 178",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762054944",
            "country_code": "US",
            "telephone_number": "940-213-2480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALICDAN",
        "first_name": "NASH",
        "middle_name": "KIWAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-04",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "42513",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.