Individual provider Active NPI

Tin T Truong, D.D,S,

  • General Practice Dentistry
  • Baytown, TX
National Provider Identifier
1114257672
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25341 Issued in TX
Practice address
4567 Garth Rd.
Suite 300
Baytown, TX 77521-2123
Phone
(281) 422-0123
Fax
(281) 837-7371
NPI assigned
Jan 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D7920 AZ
General Practice Dentistry 1223G0001X 25341 TX Primary

Addresses

Primary practice location

4567 Garth Rd.
Suite 300
Baytown, TX 77521-2123

Mailing address

4567 Garth Rd.
Suite 300
Baytown, TX 77521-2123
Phone (281) 422-0123

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
D7920AZMDGeneral Practice Dentistry
25341TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Dental Care PC General Practice CurrentSince Sep 20, 2022 Accepting new patients

Locations

4567 Garth Rd
Ste 300
Baytown, TX 77521
Phone (281) 422-0123

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": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1114257672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 GARTH RD.",
            "address_2": "SUITE 300",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212123",
            "telephone_number": "281-422-0123",
            "fax_number": "281-837-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4567 GARTH RD.",
            "address_2": "SUITE 300",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212123",
            "telephone_number": "281-422-0123",
            "fax_number": "281-837-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "TIN",
        "middle_name": "T",
        "credential": "D.D,S,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-06",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D7920",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.