Active NPI
Kim CHI Thi Nguyen, DDS
- General Practice Dentistry
- Seattle, WA
National Provider Identifier
1801316427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE61503208
- Practice address
- 3815 S Othello St FL 2
Seattle, WA 98118-3510 - Phone
- (206) 788-3502
- Fax
- (206) 962-3303
- NPI assigned
- Jun 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 33025 | TX | |
| General Practice Dentistry | 1223G0001X | DE61503208 | WA | Primary |
Addresses
Primary practice location
3815 S Othello St FL 2
Seattle, WA 98118-3510
Mailing address
PO Box 3007
Seattle, WA 98114-3007
Phone (206) 788-3700
Other names 1
- Dr. CHI Nguyen
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 |
|---|---|---|---|
| DE61503208 | WA | MD | General Practice Dentistry |
| 33025 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Champions Modern Dentistry, PC | General Practice | Past | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Houston, TX
- NPI 1366870131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1801316427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3007",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981143007",
"telephone_number": "206-788-3700",
"fax_number": "206-652-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3815 S OTHELLO ST FL 2",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981183510",
"telephone_number": "206-788-3502",
"fax_number": "206-962-3303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KIM CHI",
"middle_name": "THI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-24",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "33025",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE61503208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHI",
"last_name": "NGUYEN",
"prefix": "DR.",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.