NPIMap

Organization Active NPI

KD Enterprise Holdings

Doing business as KD Podiatry Group

  • Primary Podiatric Medicine Podiatrist
  • Westminster, CA
National Provider Identifier
1790107738
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
E4237 Issued in CA
Legal business name
KD ENTERPRISE HOLDINGS
Doing business as
KD Podiatry Group
Practice address
13701 Beach Blvd
A1
Westminster, CA 92683-5347
Phone
(714) 414-5092
NPI assigned
Jan 10, 2014
Last updated
Jan 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Authorized official

Name
Dr. Khanh Tuan Duong, DPMNPI 1295754125
Title
President
Phone
(714) 697-9939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X E4237 CA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X E4494 CA

Addresses

Primary practice location

13701 Beach Blvd
A1
Westminster, CA 92683-5347

Mailing address

13701 Beach Blvd
A1
Westminster, CA 92683-3203
Phone (714) 414-5092

Other names 1

  • KD PODIATRY GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

10138 Garvey Ave
Ste D
El Monte, CA 91733
Phone (626) 417-9218

Practitioners & affiliated clinicians

Practitioners 1

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": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1790107738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13701 BEACH BLVD",
            "address_2": "A1",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833203",
            "telephone_number": "714-414-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 BEACH BLVD",
            "address_2": "A1",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835347",
            "telephone_number": "714-414-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KD ENTERPRISE HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "KHANH",
        "authorized_official_middle_name": "TUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-697-9939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E4237",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4494",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KD PODIATRY GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, CA

Sources for this page

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

Verify at the official NPI Registry.