Ken Dental Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KEN DENTAL INC

Practice address

4236 El Cajon Blvd
San Diego, CA 92105-1230

Phone

(619) 584-4015

Fax

(619) 584-4016

NPI assigned

Jan 15, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Nghi Phung Truong, DMD

Title

President

Phone

(619) 584-4015

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Loc Bao, D.D.S.

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1770750424
  NPD (past)
• Quy Lam Phuoc Nguyen, D.D.S.

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1174802813
  NPD (past)
• Ken Truong, DMD

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1639648454
  NPD (past)

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1730653437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051230",
            "telephone_number": "619-584-4015",
            "fax_number": "619-584-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4236 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051230",
            "telephone_number": "619-584-4015",
            "fax_number": "619-584-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "NGHI",
        "authorized_official_middle_name": "PHUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-584-4015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla R Kemper-Boyle, CRNA
• Jesse Kemper, SFIDC
• Jenna Marie Kempf, PHYSICAL THERAPIST
• Lauren Kempiners, OT
• Christopher J Kempston, DDS
• Ken Noguchi Marriage & Family Therapy Inc
• Ken Roth MD & Rolf Ehlers MD San Diego Internal Medicine Assoc
• Anne Elizabeth Kendall, R.N.
• Courtney Grace Kendall
• David M Kendall, M.D.

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.