Khoa Quoc Nguyen, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101039029 Issued in VA

Practice address

821 W Broad St
Falls Church, VA 22046-3107

Phone

(703) 237-1114

NPI assigned

Jul 21, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487675252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 W BROAD ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463107",
            "telephone_number": "703-237-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 W BROAD ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463107",
            "telephone_number": "703-237-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KHOA",
        "middle_name": "QUOC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101039029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5995302",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hung M. Nguyen, DDS
• Huy Nguyen, M.D.
• Huyen Nguyen, PHARMD
• Huymy Ngoc Nguyen, D.C.
• Joanne Yujung Nguyen, CRNA
• Kim Doan Nguyen, L.AC
• Kimthanh Thi Nguyen, RPH
• Lamson Dang Nguyen, D.O.
• Loc Nhi Nguyen, PHARMD
• Long Thanh Nguyen, MD

• Dermatology Physician in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.