Active NPI
Kim Ngan Truong, D.D.S.
- Dentist
- Bakersfield, CA
National Provider Identifier
1194096230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 61099
- Practice address
- 3990 Ming Ave
Bakersfield, CA 93309-5005 - Phone
- (661) 831-5437
- NPI assigned
- Jan 20, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 61099 | CA | Primary |
Addresses
Primary practice location
3990 Ming Ave
Bakersfield, CA 93309-5005
Mailing address
723 S Roanne St
Anaheim, CA 92804-3408
Phone (714) 261-0779
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 |
|---|---|---|---|
| 61099 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1194096230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 S ROANNE ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043408",
"telephone_number": "714-261-0779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3990 MING AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933095005",
"telephone_number": "661-831-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "KIM NGAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-20",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "61099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.