Organization Active NPI

Trieu & Kang Professional Dental Corp

  • Dentist
  • Palmdale, CA
National Provider Identifier
1326423575
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54701 Issued in CA
Legal business name
TRIEU & KANG PROFESSIONAL DENTAL CORP
Practice address
38024 47TH Street
Suite H
Palmdale, CA 93552
Phone
(951) 640-2720
NPI assigned
Jul 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Dr. Lloyd V Trieu, DDSNPI 1922297183
Title
Dentist/Owner
Phone
(951) 640-2720

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 54701 CA Primary

Addresses

Primary practice location

38024 47TH Street
Suite H
Palmdale, CA 93552

Mailing address

11805 Yorktown CT
Rancho Cucamonga, CA 91730-3967
Phone (951) 640-2720

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161115000277 CA Part B Supplier - Clinic/Group Practice 8123307188 Receives reassigned benefits from 2 practitioners
Practice locations: Palmdale, CA

National Provider Directory

National Provider Directory

Locations

38024 47th St E
Ste H
Palmdale, CA 93552
Phone (661) 383-2888

Practitioners & affiliated clinicians

Practitioners 2

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": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1326423575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11805 YORKTOWN CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303967",
            "telephone_number": "951-640-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38024 47TH STREET",
            "address_2": "SUITE H",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93552",
            "telephone_number": "951-640-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIEU & KANG PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "TRIEU",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "951-640-2720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "54701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.