Individual provider Active NPI

Colleen Ashley Nguyen, D.D.S.

  • General Practice Dentistry
  • Kansas City, KS
National Provider Identifier
1669447520
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7141 Issued in KS
Practice address
9501 State Ave
Ste 7
Kansas City, KS 66111
Phone
(913) 788-0800
Fax
(913) 788-4390
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7141 KS Primary

Addresses

Primary practice location

9501 State Ave
Ste 7
Kansas City, KS 66111

Mailing address

9501 State Ave
Ste 7
Kansas City, KS 66111-1871
Phone (913) 788-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160518002074 KS Order and Referring Only - DentistPractitioner - Dentist 3173812906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Colleen Nguyen, D.D.S., P.a. CurrentSince Jan 1, 2008 Accepting new patients
Sleep Impressions, LLC Past Accepting new patients

Locations

9501 State Ave
Ste 7
Kansas City, KS 66111
Phone (913) 788-0800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1669447520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 STATE AVE",
            "address_2": "STE 7",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661111871",
            "telephone_number": "913-788-0800",
            "fax_number": "913-788-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 STATE AVE",
            "address_2": "STE 7",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66111",
            "telephone_number": "913-788-0800",
            "fax_number": "913-788-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "COLLEEN",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "7141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.