Active NPI
Khoa D. Nguyen
- General Practice Dentistry
- Arlington, TX
National Provider Identifier
1912696147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 39640
- Practice address
- 715 Turnstone Dr
Arlington, TX 76018-2339 - Phone
- (682) 269-5611
- NPI assigned
- May 3, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 39640 | TX | Primary |
Addresses
Primary practice location
715 Turnstone Dr
Arlington, TX 76018-2339
Mailing address
715 Turnstone Dr
Arlington, TX 76018-2339
Phone (682) 269-5611
Other names 1
- Khoa Dang Vincent 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 |
|---|---|---|---|
| 39640 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1912696147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 TURNSTONE DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760182339",
"telephone_number": "682-269-5611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 TURNSTONE DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760182339",
"telephone_number": "682-269-5611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KHOA D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-03",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "39640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KHOA DANG VINCENT",
"last_name": "NGUYEN",
"credential": "DMD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.