Tai Duc Duong, DDS a Professinal Corp.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

31026 Issued in CA

Legal business name

TAI DUC DUONG, DDS A PROFESSINAL CORP.

Practice address

629 Cooper Rd
Suite a
Oxnard, CA 93030-5427

Phone

(805) 486-6383

Fax

(805) 487-0482

NPI assigned

Sep 25, 2007

Last updated

Sep 25, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Tai Duc Duong, D.D.S.NPI 1679623524

Title

President

Phone

(805) 486-6383

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tai Duc Duong IV, D.D.S.

  • General Practice Dentistry
  • Oxnard, CA
  • NPI 1679623524
  NPD (past) Authorized official

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1154518991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 COOPER RD",
            "address_2": "SUITE A",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930305427",
            "telephone_number": "805-486-6383",
            "fax_number": "805-487-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 COOPER RD",
            "address_2": "SUITE A",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930305427",
            "telephone_number": "805-486-6383",
            "fax_number": "805-487-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAI DUC DUONG, DDS A PROFESSINAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "TAI",
        "authorized_official_middle_name": "DUC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-486-6383",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "31026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Szalay, APCC
• Rachel Cecelia Szatkowski, FNP
• Lauren Szmak
• Carmen J Tabares
• Seyed Mobin Tafreshi Khameneh
• Zachary Julian Taich, MD
• Rekha Tailor, M.D.
• Brenda Taing
• John Glenn Taketa, M.D.
• Trevor Takeyama, DPM

• Health Maintenance Organization in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.