NPIMap

Organization Active NPI

Nguyen Blue Ash Modern Dentistry PC, Inc.

  • General Practice Dentistry
  • Blue Ash, OH
National Provider Identifier
1619625134
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NGUYEN BLUE ASH MODERN DENTISTRY PC, INC.
Practice address
4122 Hunt Rd
Blue Ash, OH 45236-1159
Phone
(513) 828-6708
Fax
(513) 826-1072
NPI assigned
Mar 14, 2022
Last updated
Mar 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Scott Knapke
Title
Owner
Phone
(513) 828-6708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

4122 Hunt Rd
Blue Ash, OH 45236-1159

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8890

National Provider Directory

National Provider Directory

Locations

4122 Hunt Rd
Blue Ash, OH 45236
Phone (513) 828-6708

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1619625134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 HUNT RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452361159",
            "telephone_number": "513-828-6708",
            "fax_number": "513-826-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN BLUE ASH MODERN DENTISTRY PC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "KNAPKE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-828-6708"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.