Organization Active NPI

Anh D. Hoang, D.D.S., Inc.

Doing business as Dream Dental Place

  • Dentist
  • Garden Grove, CA
National Provider Identifier
1316282825
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55573 Issued in CA
Legal business name
ANH D. HOANG, D.D.S., INC.
Doing business as
Dream Dental Place
Practice address
11031 Acacia Pkwy
Garden Grove, CA 92840-5126
Phone
(714) 982-2273
NPI assigned
Dec 10, 2012
Last updated
Apr 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Anh D Hoang, DDSNPI 1134346257
Title
Dentist
Phone
(714) 982-2273

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 55573 CA Primary

Addresses

Primary practice location

11031 Acacia Pkwy
Garden Grove, CA 92840-5126

Mailing address

11031 Acacia Pkwy
Garden Grove, CA 92840-5126
Phone (714) 982-2273

Other identifiers 1

IdentifierTypeStateIssuer
W170396844OtherCAAETNA

Other names 1

  • Dream Dental Place Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140317000378 CA Part B Supplier - Clinic/Group Practice 9537390588 Receives reassigned benefits from 1 practitioner
Practice locations: Garden Grove, CA

National Provider Directory

National Provider Directory

Locations

11031 Acacia Pkwy
Garden Grove, CA 92840
Phone (714) 982-2273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1316282825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11031 ACACIA PKWY",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405126",
            "telephone_number": "714-982-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11031 ACACIA PKWY",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405126",
            "telephone_number": "714-982-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANH D. HOANG, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "ANH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-982-2273",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "55573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "W170396844",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dream Dental Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.