Individual provider Active NPI

Andy Trong Hoang, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Escondido, CA
National Provider Identifier
1477669943
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
47626 Issued in CA
Practice address
403 W Felicita Ave
Escondido, CA 92025-6517
Phone
(760) 233-2260
NPI assigned
Aug 21, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 47626 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 47626 CA Primary

Addresses

Primary practice location

403 W Felicita Ave
Escondido, CA 92025-6517

Mailing address

403 W Felicita Ave
Escondido, CA 92025-6517
Phone (760) 233-2260

Other practice location 1

41785 Nicole Ln Ste A3
Temecula, CA 92591-3874
Phone (951) 699-3250

Other practice location 2

4750 Oceanside Blvd Ste A15
Oceanside, CA 92056-3064
Phone (760) 466-0776

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190529000377 CA Practitioner - DentistPractitioner - Oral Surgery 0648411181 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of California, San Francisco School of Medicine, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4750 Oceanside Blvd
Suite A15
Oceanside, CA 92056-3064
Phone (760) 466-0776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hoang Dental Corporation Oral and Maxillofacial Surgery CurrentSince Aug 1, 2003 Accepting new patients
Hoang, Nguyen, & Lu Dental Corp Oral and Maxillofacial Surgery CurrentSince Mar 30, 2020 Accepting new patients
Hoang Dental Corp General Practice Past Accepting new patients
Penasquitos Dental General Practice Past Accepting new patients
Hoang Dental Corporation General Practice Past Accepting new patients

Locations

401 W Felicita Ave
Escondido, CA 92025
Phone (760) 233-2260

4750 Oceanside Blvd
Ste A15
Oceanside, CA 92056
Phone (760) 466-0076

9912 Carmel Mountain Rd
Ste B
San Diego, CA 92129
Phone (858) 538-9182

41785 Nicole Ln
Ste A3
Temecula, CA 92591
Phone (951) 699-3250

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1477669943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W FELICITA AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920256517",
            "telephone_number": "760-233-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W FELICITA AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920256517",
            "telephone_number": "760-233-2260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41785 Nicole Ln Ste A3",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925913874",
            "country_code": "US",
            "telephone_number": "951-699-3250",
            "fax_number": "951-699-3830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4750 Oceanside Blvd Ste A15",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920563064",
            "country_code": "US",
            "telephone_number": "760-466-0776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOANG",
        "first_name": "ANDY",
        "middle_name": "TRONG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2023-03-07",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47626",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "47626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.