Andy Duong, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55298 Issued in CA

Practice address

4440 San Pablo Dam Rd
Suite C
El Sobrante, CA 94803-3052

Phone

(510) 223-4311

Fax

(510) 223-6262

NPI assigned

Jun 29, 2007

Last updated

Jul 22, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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

• Andy P. Duong DDS PC

  • Dental Clinic/Center
  • El Sobrante, CA
  • NPI 1922770817
  NPD Authorized official

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1427255736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 SAN PABLO DAM RD",
            "address_2": "SUITE C",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948033052",
            "telephone_number": "510-223-4311",
            "fax_number": "510-223-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 SAN PABLO DAM RD",
            "address_2": "SUITE C",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948033052",
            "telephone_number": "510-223-4311",
            "fax_number": "510-223-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "ANDY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Jonathan Dinh
• Natasha Distiller, MA (PSYCHOLOGY); PHD
• Nicole Pierce Diz
• Matthew Ross Dobbs
• Desiree Dougherty
• Leia Eckstein
• Nathanael Angelo Edpalina
• Alanna Marie Epps
• Kendall Ashlyn Erby
• Mariah Rose Espinoza

• General Practice Dentistry in El Sobrante, CA
• Providers in El Sobrante, 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 22, 2010; 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.