Organization Active NPI

Ethan Truong DDS of League City PLLC

  • General Practice Dentistry
  • League City, TX
National Provider Identifier
1306512975
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ETHAN TRUONG DDS OF LEAGUE CITY PLLC
Practice address
1901 E Main St
League City, TX 77573-4242
Phone
(678) 200-6508
NPI assigned
Aug 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Ethan Truong, DDSNPI 1801270376
Title
Owner
Phone
(678) 200-6508

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1901 E Main St
League City, TX 77573-4242

Mailing address

1901 E Main St
League City, TX 77573-4242
Phone (678) 200-6508

Other names 1

  • Todays Dentistry League City Doing business as

National Provider Directory

National Provider Directory

Locations

1901 E Main St
League City, TX 77573
Phone (281) 332-6323

Practitioners & affiliated clinicians

Practitioners 1

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": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1306512975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E MAIN ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775734242",
            "telephone_number": "678-200-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 E MAIN ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775734242",
            "telephone_number": "678-200-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHAN TRUONG DDS OF LEAGUE CITY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-200-6508",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Todays Dentistry League City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Todays Dentistry League City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.