Organization Active NPI

Kevin Kieu DDS,Ms,Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fountain Valley, CA
National Provider Identifier
1972715423
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D37431 Issued in CA
Legal business name
KEVIN KIEU DDS,MS,INC.
Practice address
10130 Warner Ave
Suite I
Fountain Valley, CA 92708-1619
Phone
(714) 965-9553
NPI assigned
May 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kevin Kieu, D.D.S.NPI 1497863765
Title
Orthodontist
Phone
(714) 965-9553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X D37431 CA Primary

Addresses

Primary practice location

10130 Warner Ave
Suite I
Fountain Valley, CA 92708-1619

Mailing address

10130 Warner Ave
Suite I
Fountain Valley, CA 92708-1619

National Provider Directory

National Provider Directory

Locations

10130 Warner Ave
Ste I
Fountain Valley, CA 92708
Phone (714) 965-9553

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972715423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10130 WARNER AVE",
            "address_2": "SUITE I",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 WARNER AVE",
            "address_2": "SUITE I",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081619",
            "telephone_number": "714-965-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN KIEU DDS,MS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIEU",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "714-965-9553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "D37431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.