Individual provider Active NPI

Thuc D Hoang, DMD

  • General Practice Dentistry
  • Irving, TX
National Provider Identifier
1205953510
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22866 Issued in TX
Practice address
305 Las Colinas Blvd E
Irving, TX 75039-5556
Phone
(972) 556-2277
Fax
(972) 402-9370
NPI assigned
Mar 23, 2007
Last updated
Feb 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22866 TX Primary

Addresses

Primary practice location

305 Las Colinas Blvd E
Irving, TX 75039-5556

Mailing address

305 Las Colinas Blvd E
Irving, TX 75039-5556
Phone (972) 556-2277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160419001844 TX Order and Referring Only - DentistPractitioner - Dentist 0547568958

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1205953510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 LAS COLINAS BLVD E",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750395556",
            "telephone_number": "972-556-2277",
            "fax_number": "972-402-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 LAS COLINAS BLVD E",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750395556",
            "telephone_number": "972-556-2277",
            "fax_number": "972-402-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "THUC",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.