Christina Duong, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101682 Issued in CA

Practice address

550 E del Amo Blvd
Carson, CA 90746-3314

Phone

(310) 515-5672

NPI assigned

Jul 27, 2017

Last updated

Jul 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501113600000",
    "number": "1417471871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 VIA CURVA",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902741902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E DEL AMO BLVD",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463314",
            "telephone_number": "310-515-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2017-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Jesus Duarte Jr.
• Elizabeth D. Duenas, M.D.
• Georgia Duke
• Anthony Duncan, DDS
• Annie Duong, OTR/L
• Josefina Dabu Duran
• Toni Duvall
• Kiranjot Dyal, D.M.D.
• Dynamic Care Hospice, Inc.
• Peace Nma Ebiriekwe, LVN

• General Practice Dentistry in Carson, CA
• Providers in Carson, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.