NPIMap

Organization Active NPI

Duc M. Doan, D.D.S., Inc.

  • Dentist
  • La Puente, CA
National Provider Identifier
1255483152
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47613 Issued in CA
Legal business name
DUC M. DOAN, D.D.S., INC.
Practice address
15260 Fairgrove Ave
La Puente, CA 91744-1067
Phone
(626) 968-4733
Fax
(626) 917-1783
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Duc Minh Doan, D.D.S.NPI 1316079809
Title
President
Phone
(626) 968-4733

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 47613 CA Primary

Addresses

Primary practice location

15260 Fairgrove Ave
La Puente, CA 91744-1067

Mailing address

15260 Fairgrove Ave
La Puente, CA 91744-1067
Phone (626) 968-4733

National Provider Directory

National Provider Directory

Locations

15260 Fairgrove Ave
La Puente, CA 91744
Phone (626) 968-4733

Practitioners & affiliated clinicians

Practitioners 2

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255483152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15260 FAIRGROVE AVE",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441067",
            "telephone_number": "626-968-4733",
            "fax_number": "626-917-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15260 FAIRGROVE AVE",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441067",
            "telephone_number": "626-968-4733",
            "fax_number": "626-917-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUC M. DOAN, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "DUC",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-968-4733",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Puente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.