Organization Active NPI

Luong Dental, LLC

  • General Practice Dentistry
  • Temple, TX
National Provider Identifier
1275167488
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LUONG DENTAL, LLC
Practice address
5297 S. 31St Street
Ste 111
Temple, TX 76502
Phone
(254) 773-0055
Fax
(254) 773-0100
NPI assigned
Feb 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Quang T Luong, DDSNPI 1346607314
Title
Owner
Phone
(254) 773-0055

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 Primary

Addresses

Primary practice location

5297 S. 31St Street
Ste 111
Temple, TX 76502

Mailing address

5297 S. 31St Street
Ste 111
Temple, TX 76502
Phone (254) 773-0055

Other names 1

  • Care Dental Spa Other name

National Provider Directory

National Provider Directory

Locations

5297 S 31st St
Ste 111
Temple, TX 76502
Phone (254) 773-0055

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": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1275167488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5297 S. 31ST STREET",
            "address_2": "STE 111",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "76502",
            "telephone_number": "254-773-0055",
            "fax_number": "254-773-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5297 S. 31ST STREET",
            "address_2": "STE 111",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "76502",
            "telephone_number": "254-773-0055",
            "fax_number": "254-773-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUONG DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "LUONG",
        "authorized_official_first_name": "QUANG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-773-0055",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Dental Spa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.