Justin Kim Nguyen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

7651 Issued in NV

Practice address

240 N Jones Blvd Ste C
Las Vegas, NV 89107-1450

Phone

(702) 508-0755

NPI assigned

Nov 22, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Vegas Pediatric Partners

  • Dental Clinic/Center
  • Las Vegas, NV
  • NPI 1831858653
  NPD

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1982313623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10946 GAELIC HILLS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891414392",
            "telephone_number": "480-241-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N JONES BLVD STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071450",
            "telephone_number": "702-508-0755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 Seven Hills Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524372",
            "country_code": "US",
            "telephone_number": "702-213-8788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2551 N Green Valley Pkwy Ste C130",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890140272",
            "country_code": "US",
            "telephone_number": "702-451-8181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JUSTIN",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-22",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Ly Nguyen
• Jeremy H Nguyen, RPH
• Jessica Nguyen, PHARM.D.
• John Kim Nguyen, DMD
• Juliana Thu Nguyen
• Karine Nathalie Nguyen
• Kathy Nguyen, PHARMD
• Kelli Ngoc Nguyen
• Kenneth Nguyen
• Kevin Nguyen, DO

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.