Individual provider Active NPI

Hung Khanh Truong, DDS

  • General Practice Dentistry
  • Circleville, OH
National Provider Identifier
1053831438
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.025147 Issued in OH
Practice address
1422 Circleville Plaza Dr
Circleville, OH 43113
Phone
(740) 474-6900
NPI assigned
Jun 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.025147 OH Primary

Addresses

Primary practice location

1422 Circleville Plaza Dr
Circleville, OH 43113

Mailing address

11477 Sumner Way
Plain City, OH 43064-2649
Phone (801) 703-0399

Other practice location 1

3676 Main St
Hilliard, OH 43026-1359
Phone (614) 453-2806

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
30.025147OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Le-Truong Family Dental Corp. General Practice Current Accepting new patients
M. Alexandrunas, DMD, B. Mason, DDS, R. Gardner, DD-Dental 3, LLC General Practice PastSince Sep 23, 2021 Accepting new patients

Organizations & group practices 2

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": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1053831438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11477 SUMNER WAY",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430642649",
            "telephone_number": "801-703-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 CIRCLEVILLE PLAZA DR",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "43113",
            "telephone_number": "740-474-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3676 Main St",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430261359",
            "country_code": "US",
            "telephone_number": "614-453-2806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "HUNG",
        "middle_name": "KHANH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-26",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.