Active NPI
Nash Kiwan Malicdan, DDS
- General Practice Dentistry
- Flower Mound, TX
National Provider Identifier
1487359840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 42513
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.