Individual provider Active NPI

Thanhnga Thi Truong

  • General Practice Dentistry
  • Westminster, CA
National Provider Identifier
1477969400
Registry record updated Jan 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
63989 Issued in CA
Practice address
15355 Brookhurst St Ste 101
Westminster, CA 92683-7071
Phone
(714) 486-2958
Fax
(714) 486-2639
NPI assigned
Jul 10, 2014
Last updated
Jan 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 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 30283 TX
General Practice Dentistry 1223G0001X 63989 CA Primary

Addresses

Primary practice location

15355 Brookhurst St Ste 101
Westminster, CA 92683-7071

Mailing address

15355 Brookhurst St Ste 101
Westminster, CA 92683-7071
Phone (718) 930-9981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160302000096 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7416252382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63989CAMDMarriage & Family Therapist
30283TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ngatruong PA Current Accepting new patients
Ngatruong PA General Practice Current Accepting new patients

Locations

15355 Brookhurst St
Ste 101
Westminster, CA 92683
Phone (714) 531-5175

Organizations & group practices 2

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": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673049600000",
    "number": "1477969400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15355 BROOKHURST ST STE 101",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837071",
            "telephone_number": "718-930-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15355 BROOKHURST ST STE 101",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837071",
            "telephone_number": "714-486-2958",
            "fax_number": "714-486-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "THANHNGA",
        "middle_name": "THI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2023-01-07",
        "certification_date": "2023-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30283",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.