DR. KHOA TIEN NGUYEN DMD
NPI 1235871351
Dentist - General Practice in San Jose, CA

Q: What is Khoa Nguyen's NPI number?

The NPI number for Khoa Nguyen is 1235871351. It was assigned to this individual provider in the NPPES registry on April 9, 2022.

Q: What is Khoa Nguyen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Khoa Nguyen was last updated on May 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 09, 2022PECOS Enrolled

1333 MERIDIAN AVE, SAN JOSE, CA 95125(408) 445-3400 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2025, Oct 3, 2022, Apr 9, 2022 (3 updates tracked since 2022).

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About Dr. Khoa Tien Nguyen Dmd NPPES

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

DR. KHOA TIEN NGUYEN DMD (NPI 1235871351) is an individual general practice provider in San Jose, California, licensed in California (108108) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235871351

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KHOA TIEN NGUYENCredential: DMD

Location Address1333 MERIDIAN AVESan Jose, CA 95125-5212

Mailing Address1333 Meridian AveSan Jose, CA 95125-5212 · (408) 445-3400

Phone(408) 445-3400

Sole ProprietorNo

Enumeration DateApril 9, 2022

Last NPPES UpdateMay 16, 20253 updates tracked since enumeration

NPPES CertifiedMay 16, 2025

✔ NPI 1235871351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 108108

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1333 MERIDIAN AVE, San Jose, CA 95125

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Secondary Practice Locations 2

Location 12815 Mossmill CtSan Jose, CA 95121-2337 · Phone (408) 784-2248

Location 22039 Forest Ave Ste 204BSan Jose, CA 95128-4815 · Phone (408) 960-7200

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Khoa Tien Nguyen Dmd 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 95125 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

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.

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