Active NPI
Kurt Duc Truong, DDS, MSD
- Pediatric Dentistry
- Vancouver, WA
National Provider Identifier
1285998336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DE60299879
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141017001398 | TX | Order and Referring Only - Oral Surgery | 9739300641 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60299879 | WA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kurt Truong, DDS, MSD, PLLC | Pediatric Dentistry | Current | 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.
-
- Dental Clinic/Center
- Vancouver, WA
- NPI 1093268161
-
- Pediatric Dentistry
- Vancouver, WA
- NPI 1558143826
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.