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MISS KELLY KIM NGUYEN DDS
NPI 1235635418
Dentist in Pittsburg, CA

Active since April 05, 2018PECOS Enrolled
339 E LELAND RD, PITTSBURG, CA 94565(925) 431-1250 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Kelly Kim Nguyen Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS KELLY KIM NGUYEN DDS (NPI 1235635418) is an individual dentist in Pittsburg, California, licensed in California (104047) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235635418
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMISS KELLY KIM NGUYENCredential: DDS
Location Address339 E LELAND RDPittsburg, CA 94565-4911
Mailing Address337 E Leland RdPittsburg, CA 94565-4911 · (925) 431-1250
Phone(925) 431-1250
Sole ProprietorNo
Enumeration DateApril 5, 2018
Last NPPES UpdateAugust 21, 2019
✔ NPI 1235635418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 104047
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
339 E LELAND RD, Pittsburg, CA 94565
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Kelly Kim Nguyen Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94565 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIAVASH GHADIRI ZAHRANI DDS
Student in an Organized Health Care Education/Training Program
339 E LELAND RD
PITTSBURG, CA 94565
Contra Costa County (925) 363-2000
LEILA MAHMOODI
Student in an Organized Health Care Education/Training Program
339 E LELAND RD
PITTSBURG, CA 94565
Contra Costa County (125) 092-5431
JUAN CARLOS SALINAS VASQUEZ DDS
Dentist (General Practice)
339 E LELAND RD
PITTSBURG, CA 94565
Contra Costa County (925) 431-1250
JACLYN YOUNG
Dentist
339 E LELAND RD
PITTSBURG, CA 94565
Contra Costa County (925) 431-1250
RIZA FLORES SANTOS DDS
Dentist
339 E LELAND RD
PITTSBURG, CA 94565
Contra Costa County (925) 431-7108
LA CLINICA DE LA RAZA INC
Clinic/Center (Federally Qualified Health Center (FQHC))
339 E LELAND RD
PITTSBURG, CA 94565
Contra Costa County (925) 431-1250
THERESA KIM DMD
Dentist (General Practice)
339 E LELAND RD
PITTSBURG, CA 94565
Contra Costa County (925) 363-2000
LADY FATIMA PINEDA LAM DDS
Dentist
339 E LELAND RD
PITTSBURG, CA 94565
Contra Costa County (925) 431-1250

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Nguyen's NPI number?

The NPI number for Kelly Nguyen is 1235635418. It was assigned to this individual provider in the NPPES registry on April 5, 2018.

Where is Kelly Nguyen located?

Kelly Nguyen practices at 339 E Leland Rd, Pittsburg, CA 94565. The listed phone number is (925) 431-1250.

What is Kelly Nguyen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kelly Nguyen enrolled in Medicare?

Yes. Kelly Nguyen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Nguyen was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.