Thao Kieu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

09121 Issued in IA

Practice address

500 W River Dr
Davenport, IA 52801-1014

Phone

(563) 336-3225

Fax

(563) 336-3229

NPI assigned

Jul 28, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1972911527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SCOTT ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528011130",
            "telephone_number": "563-336-3000",
            "fax_number": "563-336-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W RIVER DR",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528011014",
            "telephone_number": "563-336-3225",
            "fax_number": "563-336-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEU",
        "first_name": "THAO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "09121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598759029",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Swanon, PT P.C. (Plaza Physical Therapy)
• Kathleen J Keyes, M.D.
• Faraz Ahmed Khan
• Mohsin Ali Khan, MD
• Yasmeen Amina Khan, DC, MS, MA
• Brian Thomas Kim, D.D.S.
• Eunhea Kim, M.D.
• Alyssa Renee Kimber, DPT
• Kimberly Park Dental Associates
• Whitney Loring Kimbrough, LMSW

• General Practice Dentistry in Davenport, IA
• Providers in Davenport, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.