Individual provider Active NPI

Kiet Nguyen, D.D.S.

  • General Practice Dentistry
  • Euless, TX
National Provider Identifier
1992877914
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18139 Issued in TX
Practice address
2131 State Highway 121 Ste 200
Euless, TX 76039-4169
Phone
(817) 283-1205
Fax
(817) 786-8017
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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 18139 TX Primary

Addresses

Primary practice location

2131 State Highway 121 Ste 200
Euless, TX 76039-4169

Mailing address

2131 State Highway 121 Ste 200
Euless, TX 76039-4169
Phone (817) 283-1205

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

LicenseStateTypeSpecialty
18139TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Vu Dentistry Group LLC General Practice Current Accepting new patients
MTN Dental Group Corporation General Practice Current Accepting new patients
Dental Works Past Accepting new patients
William Lay DDS PLLC PastSince Feb 1, 2022 Accepting new patients
Dental Works of Texas II General Practice Past Accepting new patients

Locations

2131 State Highway 121
Ste 200
Euless, TX 76039
Phone (817) 283-1205

Organizations & group practices 5

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1992877914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 STATE HIGHWAY 121 STE 200",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760394169",
            "telephone_number": "817-283-1205",
            "fax_number": "817-786-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 STATE HIGHWAY 121 STE 200",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760394169",
            "telephone_number": "817-283-1205",
            "fax_number": "817-786-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KIET",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euless, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.