Individual provider Active NPI

Truc Quang Duong, DDS

  • General Practice Dentistry
  • Sterling, VA
National Provider Identifier
1366609869
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401410039 Issued in VA
Practice address
21145 Whitfield PL
Suite 103
Sterling, VA 20165-7282
Phone
(703) 404-1115
Fax
(703) 404-5600
NPI assigned
May 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401410039 VA Primary

Addresses

Primary practice location

21145 Whitfield PL
Suite 103
Sterling, VA 20165-7282

Mailing address

21145 Whitfield PL
Suite 103
Sterling, VA 20165-7282
Phone (703) 404-1115

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

State licenses

LicenseStateTypeSpecialty
0401410039VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Truc Duong D.D.S., P.C General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1366609869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21145 WHITFIELD PL",
            "address_2": "SUITE 103",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657282",
            "telephone_number": "703-404-1115",
            "fax_number": "703-404-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21145 WHITFIELD PL",
            "address_2": "SUITE 103",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657282",
            "telephone_number": "703-404-1115",
            "fax_number": "703-404-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "TRUC",
        "middle_name": "QUANG",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.