Individual provider Active NPI

Toan Quang Duong Jr., D.D.S

  • General Practice Dentistry
  • Lexington, VA
National Provider Identifier
1376903443
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401415500 Issued in VA
Practice address
112 Houston St Ste a
Lexington, VA 24450-2451
Phone
(540) 463-2134
NPI assigned
Mar 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10592 NC
General Practice Dentistry 1223G0001X 0401415500 VA Primary

Addresses

Primary practice location

112 Houston St Ste a
Lexington, VA 24450-2451

Mailing address

6407 Seven Oaks Dr
Falls Church, VA 22042-3151
Phone (703) 901-0570

Other practice location 1

Unc School Of Dentistry
CB #7450, 467C Brauer Hall
Chapel Hill, NC 27599-7450
Phone (919) 537-3571

Other practice location 2

UNC Health Care Dental Clinic
101 Manning Drive
Chapel Hill, NC 27514
Phone (984) 974-1485

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20160505001714 NC Order and Referring Only - DentistPractitioner - Dentist 4183923519

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401415500VAMDGeneral Practice Dentistry
10592NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Toan Duong DDS PLLC General Practice CurrentSince Jan 22, 2023 Accepting new patients
DRS. Downey & Devening, PC General Practice PastSince Aug 11, 2019 Accepting new patients
Calvano and Lagrua General Practice PastSince Aug 11, 2019 Accepting new patients

Locations

1752 Timberwood Blvd
Charlottesville, VA 22911
Phone (434) 974-6492

Organizations & group practices 3

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": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376903443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6407 SEVEN OAKS DR",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423151",
            "telephone_number": "703-901-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HOUSTON ST STE A",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244502451",
            "telephone_number": "540-463-2134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Unc School Of Dentistry",
            "address_2": "CB #7450, 467C Brauer Hall",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275997450",
            "country_code": "US",
            "telephone_number": "919-537-3571",
            "fax_number": "919-537-3586",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "UNC Health Care Dental Clinic",
            "address_2": "101 Manning Drive",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "27514",
            "country_code": "US",
            "telephone_number": "984-974-1485",
            "fax_number": "984-974-0355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUONG",
        "first_name": "TOAN",
        "middle_name": "QUANG",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10592",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401415500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, VA

Sources for this page

Verify at the official NPI Registry.