Active NPI
Daniel Van Nguyen, D.D.S.
- Dentist
- Kansas City, KS
National Provider Identifier
1679986392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 60979
- Practice address
- 7933 State Ave
Kansas City, KS 66112-2468 - Phone
- (913) 213-6973
- Fax
- (913) 213-6972
- NPI assigned
- Jun 10, 2014
- Last updated
- Jun 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 60979 | KS | Primary |
Addresses
Primary practice location
7933 State Ave
Kansas City, KS 66112-2468
Mailing address
1120 Salisbury CT
Apt 11
Lincoln, NE 68505-1787
Phone (402) 580-2674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60979 | KS | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midtown Dental LLC | Dentist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402358400000",
"number": "1679986392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 SALISBURY CT",
"address_2": "APT 11",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685051787",
"telephone_number": "402-580-2674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7933 STATE AVE",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661122468",
"telephone_number": "913-213-6973",
"fax_number": "913-213-6972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "DANIEL",
"middle_name": "VAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-10",
"last_updated": "2014-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KS",
"license": "60979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.