Active NPI
Tuan Quoc Tong, DMD
- Dentist
- McDonough, GA
National Provider Identifier
1093873952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN012718
- Practice address
- 854 Hampton Rd
McDonough, GA 30253 - Phone
- (770) 320-9882
- Fax
- (770) 320-9884
- NPI assigned
- Dec 4, 2006
- Last updated
- Feb 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN012718 | GA | Primary |
Addresses
Primary practice location
854 Hampton Rd
McDonough, GA 30253
Mailing address
854 Hampton Rd
McDonough, GA 30253
Phone (770) 320-9882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122690505G | Medicaid | GA |
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 |
|---|---|---|---|
| DN012718 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MH Dental PC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518566400000",
"number": "1093873952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "854 HAMPTON RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "30253",
"telephone_number": "770-320-9882",
"fax_number": "770-320-9884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "854 HAMPTON RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "30253",
"telephone_number": "770-320-9882",
"fax_number": "770-320-9884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONG",
"first_name": "TUAN",
"middle_name": "QUOC",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2018-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN012718",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122690505G",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.