Active NPI
Trang H Duong
- Dentist
- San Carlos, CA
National Provider Identifier
1114683836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 106855
- Practice address
- 1028 Laurel St
San Carlos, CA 94070-3919 - Phone
- (832) 525-9967
- NPI assigned
- Nov 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 106855 | CA | Primary |
Addresses
Primary practice location
1028 Laurel St
San Carlos, CA 94070-3919
Mailing address
3000 Bissonnet St Apt 5303
Houston, TX 77005-4083
Phone (832) 525-9967
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 |
|---|---|---|---|
| 106855 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1114683836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 BISSONNET ST APT 5303",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770054083",
"telephone_number": "832-525-9967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 LAUREL ST",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940703919",
"telephone_number": "832-525-9967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG",
"first_name": "TRANG",
"middle_name": "H",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-17",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "106855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Carlos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.