Organization Active NPI

Kim CHI Nguyen DDS Inc

  • Dentist
  • San Jose, CA
National Provider Identifier
1609063338
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41657 Issued in CA
Legal business name
KIM CHI NGUYEN DDS INC
Practice address
2593 South King Road
Suite 14
San Jose, CA 95122
Phone
(408) 223-8656
Fax
(408) 223-8683
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Kim CHI Nguyen, DDS
Title
Dentist
Phone
(408) 223-8656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 41657 CA Primary

Addresses

Primary practice location

2593 South King Road
Suite 14
San Jose, CA 95122

Mailing address

2593 South King Road
Suite 14
San Jose, CA 95122
Phone (408) 223-8656

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1609063338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2593 SOUTH KING ROAD",
            "address_2": "SUITE 14",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95122",
            "telephone_number": "408-223-8656",
            "fax_number": "408-223-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2593 SOUTH KING ROAD",
            "address_2": "SUITE 14",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95122",
            "telephone_number": "408-223-8656",
            "fax_number": "408-223-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM CHI NGUYEN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KIM CHI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "408-223-8656",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.