Individual provider Active NPI

Khoa Nguyen, DDS

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1972127595
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
00204477 Issued in CO
Practice address
805 S Federal Blvd
Denver, CO 80219-3412
Phone
(303) 935-2353
NPI assigned
May 29, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 00204477 CO Primary

Addresses

Primary practice location

805 S Federal Blvd
Denver, CO 80219-3412

Mailing address

805 S Federal Blvd
Denver, CO 80219-3412
Phone (303) 935-2353

Other practice location 1

2226 S Fraser St Unit 6
Aurora, CO 80014-4534
Phone (720) 662-7268

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
00204477COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Trust Family Dental PLLC Current Accepting new patients
Trust Family Dental PLLC CurrentSince Mar 11, 2025 Accepting new patients

Locations

2226 S Fraser St
Unit 6
Aurora, CO 80014
Phone (720) 662-7268

805 S Federal Blvd
Denver, CO 80219
Phone (303) 935-2353

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1972127595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802193412",
            "telephone_number": "303-935-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802193412",
            "telephone_number": "303-935-2353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2226 S Fraser St Unit 6",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800144534",
            "country_code": "US",
            "telephone_number": "720-662-7268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KHOA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-29",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00204477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.