Individual provider Active NPI

Kurt Duc Truong, DDS, MSD

  • Pediatric Dentistry
  • Vancouver, WA
National Provider Identifier
1285998336
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE60299879 Issued in WA
Practice address
10009 NE Hazel Dell Ave
Vancouver, WA 98685-5203
Phone
(360) 573-3176
NPI assigned
Jul 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DE60299879 WA Primary

Addresses

Primary practice location

10009 NE Hazel Dell Ave
Vancouver, WA 98685-5203

Mailing address

10009 NE Hazel Dell Ave
Vancouver, WA 98685-5203
Phone (360) 573-3176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141017001398 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9739300641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60299879WAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kurt Truong, DDS, MSD, PLLC Pediatric Dentistry CurrentSince Oct 22, 2023 Accepting new patients
Kurt Truong, DDS, MSD, PLLC Past Accepting new patients

Locations

14201 NE 20th Ave
Ste C102
Vancouver, WA 98686
Phone (360) 573-3176

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1285998336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10009 NE HAZEL DELL AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986855203",
            "telephone_number": "360-573-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10009 NE HAZEL DELL AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986855203",
            "telephone_number": "360-573-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "KURT",
        "middle_name": "DUC",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60299879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.