Kaitlyn Nguyen Purcell, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN23997 Issued in FL

Practice address

6003 Honore Ave Ste 102
Sarasota, FL 34238-5717

Phone

(941) 529-0345

Fax

(941) 529-0360

NPI assigned

Oct 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Kailtyn Kieu Nguyen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1192924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1639368145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 HONORE AVE STE 102",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385717",
            "telephone_number": "941-529-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 HONORE AVE STE 102",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385717",
            "telephone_number": "941-529-0345",
            "fax_number": "941-529-0360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 SW 62nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331553009",
            "country_code": "US",
            "telephone_number": "305-669-5873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "KAITLYN",
        "middle_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-21",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56323",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD3790",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN23997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAILTYN",
            "last_name": "NGUYEN",
            "middle_name": "KIEU",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Solomia Pullen, APRN
• Peggy Lou Pulling, LMT
• Sandra Pulos, MA
• Diane Pulver, PTA
• Ana B Pupo Noris
• Purple Dogfish LLC
• Paige M Putz, PHARMD
• Andrew C Pyatt
• QSH/Central Florida, LLC
• Quality Anesthesia Care Corp.

• Pediatric Dentistry in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.