Active NPI
Tina Truong D.M.D., PC.
- General Practice Dentistry
- Alexandria, VA
National Provider Identifier
1255592978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401410147
- Legal business name
- TINA TRUONG D.M.D., PC.
- Practice address
- 4810 Beauregard St
200
Alexandria, VA 22312-1709 - Phone
- (703) 333-5105
- Fax
- (703) 333-5106
- NPI assigned
- Jun 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tina N. Truong, DMD
- Title
- Dentist
- Phone
- (703) 333-5105
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401410147 | VA | Primary |
Addresses
Primary practice location
4810 Beauregard St
200
Alexandria, VA 22312-1709
Mailing address
4810 Beauregard St
200
Alexandria, VA 22312-1709
Phone (703) 333-5105
National Provider Directory
National Provider DirectoryLocations
4810 Beauregard St
Ste 200
Alexandria, VA 22312
Phone (571) 374-8000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Alexandria, VA
- NPI 1033217732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1255592978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4810 BEAUREGARD ST",
"address_2": "200",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223121709",
"telephone_number": "703-333-5105",
"fax_number": "703-333-5106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4810 BEAUREGARD ST",
"address_2": "200",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223121709",
"telephone_number": "703-333-5105",
"fax_number": "703-333-5106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TINA TRUONG D.M.D., PC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-25",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "TRUONG",
"authorized_official_first_name": "TINA",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "703-333-5105",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401410147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.