Organization Active NPI

John Duong DMD Limited

  • Endodontics
  • Las Vegas, NV
National Provider Identifier
1124425178
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
JOHN DUONG DMD LIMITED
Practice address
2291 S Fort Apache Rd
Suite 104
Las Vegas, NV 89117-5895
Phone
(702) 732-8800
Fax
(702) 869-5554
NPI assigned
Nov 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Dr. John Duong, DMDNPI 1629290622
Title
Endodontist
Phone
(702) 732-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

2291 S Fort Apache Rd
Suite 104
Las Vegas, NV 89117-5895

Mailing address

2291 S Fort Apache Rd
Suite 104
Las Vegas, NV 89117-5895
Phone (702) 732-8800

National Provider Directory

National Provider Directory

Locations

2291 S Fort Apache Rd
Ste 104
Las Vegas, NV 89117
Phone (702) 732-8800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1124425178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2291 S FORT APACHE RD",
            "address_2": "SUITE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175895",
            "telephone_number": "702-732-8800",
            "fax_number": "702-869-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 S FORT APACHE RD",
            "address_2": "SUITE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175895",
            "telephone_number": "702-732-8800",
            "fax_number": "702-869-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN DUONG DMD LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "702-732-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.