Active NPI
Diewitt Duong, DMD
- Dentist
- Bethesda, MD
National Provider Identifier
1306369889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16487
- Practice address
- 8955 Wood Rd
Bethesda, MD 20889 - Phone
- (301) 295-0064
- NPI assigned
- Jul 17, 2017
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 16487 | MD | Primary |
Addresses
Primary practice location
8955 Wood Rd
Bethesda, MD 20889
Mailing address
8955 Wood Rd
Bethesda, MD 20889-5628
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16487 | Other | MD | STATE DENTAL BOARD LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526774400000",
"number": "1306369889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8955 WOOD RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208895628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8955 WOOD RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20889",
"telephone_number": "301-295-0064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG",
"first_name": "DIEWITT",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-17",
"last_updated": "2018-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "16487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DENTAL BOARD LICENSE",
"identifier": "16487",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.