NPIMap

Organization Active NPI

Truc Duong D.D.S., P.C

  • General Practice Dentistry
  • Sterling, VA
National Provider Identifier
1255613105
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401410039 Issued in VA
Legal business name
TRUC DUONG D.D.S., P.C
Practice address
21145 Whitfield PL Ste 103
Sterling, VA 20165-7278
Phone
(703) 404-1115
Fax
(703) 404-5600
NPI assigned
Sep 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Authorized official

Name
Dr. Truc DuongNPI 1366609869
Title
DDS
Phone
(703) 404-1115

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401410039 VA Primary

Addresses

Primary practice location

21145 Whitfield PL Ste 103
Sterling, VA 20165-7278

Mailing address

21145 Whitfield PL Ste 103
Sterling, VA 20165-7278
Phone (703) 404-1115

National Provider Directory

National Provider Directory

Locations

21145 Whitfield Pl
Ste 103
Sterling, VA 20165
Phone (703) 404-1115

Practitioners & affiliated clinicians

Practitioners 1

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": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1255613105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21145 WHITFIELD PL STE 103",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657278",
            "telephone_number": "703-404-1115",
            "fax_number": "703-404-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21145 WHITFIELD PL STE 103",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657278",
            "telephone_number": "703-404-1115",
            "fax_number": "703-404-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUC DUONG D.D.S., P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "TRUC",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "703-404-1115",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.