Individual provider Active NPI

Tuan Luong, DDS

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1033684360
Registry record updated Oct 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
102836 Issued in CA
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

Updated by the provider on Oct 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
102836CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tuan Luong DDS Inc CurrentSince Oct 13, 2024 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.

Verify at the official NPI Registry.