Active NPI
Tin T Truong, D.D,S,
- General Practice Dentistry
- Baytown, TX
National Provider Identifier
1114257672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25341
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| D7920 | AZ | MD | General Practice Dentistry |
| 25341 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontier Dental Care PC | General Practice | Current | 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.