Kenneth Thi Nguyen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46204 Issued in CA

Practice address

762 Glendora Ave
Suite D
La Puente, CA 91744-4044

Phone

(626) 333-7920

Fax

(626) 330-7019

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kenneth Nguyen, DDS Apc

  • Dentist
  • La Puente, CA
  • NPI 1528411733
  NPD (past) Authorized official

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1861511420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 GLENDORA AVE",
            "address_2": "SUITE D",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917444044",
            "telephone_number": "626-333-7920",
            "fax_number": "626-330-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 GLENDORA AVE",
            "address_2": "SUITE D",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917444044",
            "telephone_number": "626-333-7920",
            "fax_number": "626-330-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KENNETH",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Nevarez, RN
• Seran NG, DMD
• Elysia K Ngo
• Anthony M. Nguyen, D.D.S.
• Jennifer Nguyen
• My Linh Thi Nguyen, D.D.S
• Thuy-Nga Nguyen, R.PH.
• Nick Perez Chiropractic, Inc
• Nikjoo Dental Inc
• Mimi Nishimura

• General Practice Dentistry in La Puente, CA
• Providers in La Puente, 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 Sep 15, 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.