KIM THI VAN (DMD) – Dentist, NPI 1669491817

KIM THI VAN (DMD) is a healthcare provider. based in Fort worth, Texas. specializing in Dentist. They hold the professional credentials DMD. They hold a License No. 23133 (TX). The NPI Number for KIM THI VAN (DMD) is 1669491817

Main info

Female
Name
KIM THI VAN (DMD)
NPI
1669491817
Phone
(817) 924-7670
Address
2717 8TH AVE
Enumeration Date
19 July 2006
Last Update Date
13 August 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for KIM THI VAN (DMD)

  • 2717, 8th Avenue, Fairmount, Fort Worth, Tarrant County, Texas, 76110, United States

    FORT WORTH, TX 761103041

    Phone: (817) 924-7670

    Fax: (817) 942-7646

    Type: Mailing

  • 3811 W HIGHWAY 31 STE 108

    CORSICANA, TX 751109211

    Phone: (903) 229-4573

    Type: Location

  • 4712 SEA HAWK ST

    GRAND PRAIRIE, TX 750524147

    Phone: (469) 882-8883

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-06-13 • Largest payer in this snapshot: Kowa Pharmaceuticals America, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-13

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-01-26

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76110)

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Reviews

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Frequently asked questions

How do payers reference KIM THI VAN (DMD)?
For KIM THI VAN (DMD), use NPI 1669491817 as the unique 10-digit identifier.
Is KIM THI VAN (DMD) still an active registrant?
KIM THI VAN (DMD) carries an active NPI according to the public dataset.
What area of care is associated with KIM THI VAN (DMD)?
KIM THI VAN (DMD)'s record emphasizes Dentist. Clinical services aligned with this taxonomy classification.
Is KIM THI VAN (DMD) associated with Fort Worth?
Public fields place KIM THI VAN (DMD) around Fort Worth, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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