Individual provider Active NPI

Edward Vuong, DMD

  • Dentist
  • Huntington Beach, CA
National Provider Identifier
1164037958
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
105302 Issued in CA
Practice address
7777 Edinger Ave Ste 232
Huntington Beach, CA 92647-8692
Phone
(714) 312-7714
NPI assigned
Sep 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 105302 CA Primary

Addresses

Primary practice location

7777 Edinger Ave Ste 232
Huntington Beach, CA 92647-8692

Mailing address

7725 Gateway Unit 3353
Irvine, CA 92618-5851
Phone (323) 698-6801

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Vuong D.M.D Inc CurrentSince Jun 25, 2023 Accepting new patients
Ronny Le Dental Corporation Dentist PastSince Sep 1, 2020 Accepting new patients

Locations

7777 Edinger Ave
Ste 232
Huntington Beach, CA 92647
Phone (714) 312-7714

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1164037958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7725 GATEWAY UNIT 3353",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926185851",
            "telephone_number": "323-698-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 EDINGER AVE STE 232",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926478692",
            "telephone_number": "714-312-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUONG",
        "first_name": "EDWARD",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-09",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.