Active NPI
Julia Nguyen
- Endodontics
- Prairie Village, KS
National Provider Identifier
1972913374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 61726
- Practice address
- 7301 Mission Rd Ste 317
Prairie Village, KS 66208 - Phone
- (913) 236-7668
- NPI assigned
- May 7, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 019030264 | IL | |
| Endodontics | 1223E0200X | 2019033972 | MO | |
| Endodontics | 1223E0200X | 61726 | KS | Primary |
Addresses
Primary practice location
7301 Mission Rd Ste 317
Prairie Village, KS 66208
Mailing address
9641 N Ambassador Dr Unit 2407
Kansas City, MO 64154-7269
Other practice location 1
808 E Woodfield Rd Ste 300
Schaumburg, IL 60173-4836
Phone (847) 517-8330
Other practice location 2
801 S Paulina St Rm 304G
UIC Department of Endodontics
Chicago, IL 60612-7210
Phone (312) 996-7514
Other practice location 3
808 E Woodfield Rd Ste 300
Schaumburg, IL 60173-4836
Phone (847) 517-8330
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019030264 | IL | MD | Endodontist |
| 61726 | KS | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jwwdental LLC | Endodontics | Past | Accepting new patients |
| Adam S Colombo, DDS | Endodontics | Past | Accepting new patients |
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.
-
- Endodontics
- Prairie Village, KS
- NPI 1568683423
-
- Endodontics
- Schaumburg, IL
- NPI 1023562857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570665600000",
"number": "1972913374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9641 N AMBASSADOR DR UNIT 2407",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641547269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 MISSION RD STE 317",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "66208",
"telephone_number": "913-236-7668"
}
],
"practiceLocations": [
{
"address_1": "808 E Woodfield Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Schaumburg",
"state": "IL",
"postal_code": "601734836",
"country_code": "US",
"telephone_number": "847-517-8330",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 S Paulina St Rm 304G",
"address_2": "UIC Department of Endodontics",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606127210",
"country_code": "US",
"telephone_number": "312-996-7514",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "808 E Woodfield Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Schaumburg",
"state": "IL",
"postal_code": "601734836",
"country_code": "US",
"telephone_number": "847-517-8330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "JULIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-07",
"last_updated": "2019-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "IL",
"license": "019030264",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MO",
"license": "2019033972",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "KS",
"license": "61726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prairie Village, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.