Active NPI
Tuan Luong, DDS
- General Practice Dentistry
- San Jose, CA
National Provider Identifier
1033684360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 102836
- Practice address
- 2344 McKee Rd
40
San Jose, CA 95116-1616 - Phone
- (408) 347-9401
- Fax
- (408) 347-9404
- NPI assigned
- Oct 13, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 102836 | CA | |
| General Practice Dentistry | 1223G0001X | 102836 | CA | Primary |
Addresses
Primary practice location
2344 McKee Rd
40
San Jose, CA 95116-1616
Mailing address
1225 Taper LN
San Jose, CA 95122-2951
Phone (510) 739-0701
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 |
|---|---|---|---|
| 102836 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuan Luong DDS Inc | Current | Accepting new patients |
Locations
2344 McKee Rd
Ste 40
San Jose, CA 95116
Phone (408) 347-9401
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729987200000",
"number": "1033684360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 TAPER LN",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951222951",
"telephone_number": "510-739-0701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2344 MCKEE RD",
"address_2": "40",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161616",
"telephone_number": "408-347-9401",
"fax_number": "408-347-9404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUONG",
"first_name": "TUAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-13",
"last_updated": "2024-10-27",
"certification_date": "2024-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "102836",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "102836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.