Active NPI
Huong Linda Truong, DMD
- Dentist
- Port St Lucie, FL
National Provider Identifier
1255783783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN22045
- Practice address
- 10696 SW Village Pkwy
Port St Lucie, FL 34987-2358 - Phone
- (772) 380-4490
- NPI assigned
- Jul 8, 2016
- Last updated
- Jun 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D10739 | OR | |
| Dentist | 122300000X | DN22045 | FL | Primary |
Addresses
Primary practice location
10696 SW Village Pkwy
Port St Lucie, FL 34987-2358
Mailing address
10696 SW Village Pkwy
Port St Lucie, FL 34987-2358
Phone (772) 380-4490
Other practice location 1
1175 Mount Hood Ave
Woodburn, OR 97071-9060
Phone (503) 982-2000
Other practice location 2
1384 SW Saint Lucie West Blvd
Port St Lucie, FL 34986-2109
Phone (772) 249-0488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161227000682 | FL | Order and Referring Only - Dentist | 7315228756 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D10739 | OR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syd Associates, PA | Past | Accepting new patients | |
| Professional Dental Alliance of Florida, PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Port St Lucie, FL
- NPI 1750938072
-
- Dental Clinic/Center
- Port Saint Lucie, FL
- NPI 1073998464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1255783783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10696 SW VILLAGE PKWY",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349872358",
"telephone_number": "772-380-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10696 SW VILLAGE PKWY",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349872358",
"telephone_number": "772-380-4490"
}
],
"practiceLocations": [
{
"address_1": "1175 Mount Hood Ave",
"address_purpose": "LOCATION",
"city": "Woodburn",
"state": "OR",
"postal_code": "970719060",
"country_code": "US",
"telephone_number": "503-982-2000",
"fax_number": "503-982-0660",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1384 SW Saint Lucie West Blvd",
"address_purpose": "LOCATION",
"city": "Port St Lucie",
"state": "FL",
"postal_code": "349862109",
"country_code": "US",
"telephone_number": "772-249-0488",
"fax_number": "772-249-4695",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRUONG",
"first_name": "HUONG",
"middle_name": "LINDA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-08",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D10739",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN22045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.