NPIMap

Individual provider Active NPI

Kim CHI Nguyen DO, D.D.S

  • Dentist
  • Terrytown, LA
National Provider Identifier
1942492566
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8476 Issued in NC
Practice address
441 Terry Pkwy Ste B
Terrytown, LA 70056-2780
Phone
(504) 319-5256
NPI assigned
Aug 16, 2007
Last updated
Mar 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8476 NC Primary

Addresses

Primary practice location

441 Terry Pkwy Ste B
Terrytown, LA 70056-2780

Mailing address

49 Fairway Oaks Dr
New Orleans, LA 70131-3339
Phone (504) 319-5256

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

LicenseStateTypeSpecialty
8476NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Parkway Family Dental, LLC CurrentSince Apr 5, 2020 Accepting new patients

Locations

441 Terry Pkwy
#B
Terrytown, LA 70056
Phone (504) 319-5256

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1942492566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 FAIRWAY OAKS DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701313339",
            "telephone_number": "504-319-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 TERRY PKWY STE B",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700562780",
            "telephone_number": "504-319-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "KIM CHI",
        "middle_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "8476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrytown, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.