Trung Kien Doan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47365 Issued in CA

Practice address

1409 W Chapman Ave Ste B
Orange, CA 92868-2743

Phone

(714) 634-8111

Fax

(714) 634-1611

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306982483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 W CHAPMAN AVE STE B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682743",
            "telephone_number": "714-634-8111",
            "fax_number": "714-634-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 W CHAPMAN AVE STE B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682743",
            "telephone_number": "714-634-8111",
            "fax_number": "714-634-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "TRUNG",
        "middle_name": "KIEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D47365",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Elizabeth Doan, N.P.
• Michael Doan, MD
• Misa Doan
• Nguyen Trung Duong Doan
• Thang Quoc Doan
• Victor Bach Doan, MD
• Daniel Dobalian, M.D.
• Diane Dobner, O.T.
• Jeffrey L Dobyns, M.D.
• Margaret Docena

• General Practice Dentistry in Orange, CA
• Providers in Orange, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.