NPIMap

Organization Active NPI

Truong & Pongmanopap DDS PC

  • Dental Clinic/Center
  • Woodland, CA
National Provider Identifier
1245719772
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
102940 Issued in CA
Legal business name
TRUONG & PONGMANOPAP DDS PC
Practice address
255 W Court St Ste C
Woodland, CA 95695-2986
Phone
(530) 666-2117
NPI assigned
Aug 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Authorized official

Name
Dr. Albert Truong, DDSNPI 1245649193
Title
Owner/Dentist
Phone
(530) 666-2117

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
Dental Clinic/Center 261QD0000X 102940 CA Primary

Addresses

Primary practice location

255 W Court St Ste C
Woodland, CA 95695-2986

Mailing address

255 W Court St Ste C
Woodland, CA 95695-2986
Phone (530) 666-2117

National Provider Directory

National Provider Directory

Locations

255 W Court St
Ste C
Woodland, CA 95695
Phone (530) 666-2117

Practitioners & affiliated clinicians

Practitioners 3

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": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1245719772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W COURT ST STE C",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952986",
            "telephone_number": "530-666-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W COURT ST STE C",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952986",
            "telephone_number": "530-666-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUONG & PONGMANOPAP DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "530-666-2117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "102940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.