Active NPI
David Tong, D.M.D.
- General Practice Dentistry
- Las Vegas, NV
National Provider Identifier
1013081488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4064
- Practice address
- 3650 S Decatur Blvd
Ste#33
Las Vegas, NV 89103-5864 - Phone
- (702) 367-7587
- Fax
- (702) 367-2125
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4064 | NV | Primary |
Addresses
Primary practice location
3650 S Decatur Blvd
Ste#33
Las Vegas, NV 89103-5864
Mailing address
PO Box 31358
Las Vegas, NV 89173-1358
Phone (702) 367-7587
Other names 1
- Huy Tong
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4064 | NV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winna Pham DDS PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Las Vegas, NV
- NPI 1457298739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013081488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31358",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891731358",
"telephone_number": "702-367-7587",
"fax_number": "702-367-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 S DECATUR BLVD",
"address_2": "STE#33",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891035864",
"telephone_number": "702-367-7587",
"fax_number": "702-367-2125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONG",
"first_name": "DAVID",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "4064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HUY",
"last_name": "TONG",
"credential": "D.M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.