Organization Active NPI

Sara T. Truong, D.D.S., a Professional Corporation

  • Dental Clinic/Center
  • Mountain View, CA
National Provider Identifier
1376546176
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
46705 Issued in CA
Legal business name
SARA T. TRUONG, D.D.S., A PROFESSIONAL CORPORATION
Practice address
485 South Dr
Ste C
Mountain View, CA 94040-4208
Phone
(650) 961-4766
NPI assigned
May 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Sara T Truong, D.D.S.NPI 1710980529
Title
Ceo
Phone
(650) 961-4766

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
Dental Clinic/Center 261QD0000X 46705 CA Primary

Addresses

Primary practice location

485 South Dr
Ste C
Mountain View, CA 94040-4208

Mailing address

485 South Dr
Ste C
Mountain View, CA 94040-4208
Phone (650) 961-4766

Other identifiers 1

IdentifierTypeStateIssuer
001313570OtherCAUNITED CONCORDIA PROVIDER

National Provider Directory

National Provider Directory
Tax ID family
A Smile for Me Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1376546176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 SOUTH DR",
            "address_2": "STE C",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404208",
            "telephone_number": "650-961-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 SOUTH DR",
            "address_2": "STE C",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404208",
            "telephone_number": "650-961-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA T. TRUONG, D.D.S., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-961-4766",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "46705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "001313570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.