Organization Active NPI

Tuan Anh Luong DDS Inc

  • PACE Provider Organization
  • Garden Grove, CA
National Provider Identifier
1497447494
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
TUAN ANH LUONG DDS INC
Practice address
9535 Garden Grove Blvd Ste 201
Garden Grove, CA 92844-1552
Phone
(972) 971-7079
NPI assigned
May 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Dr. Tuan Anh Luong, DDSNPI 1780300749
Title
President
Phone
(972) 971-7079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

9535 Garden Grove Blvd Ste 201
Garden Grove, CA 92844-1552

Mailing address

9535 Garden Grove Blvd Ste 201
Garden Grove, CA 92844-1552
Phone (972) 971-7079

Other names 2

  • TUAN ANH LUONG DDS INC Doing business as
  • Toothclinic Dental Group of Tuan Anh Luong DDS Inc Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ServerProvide Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1497447494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9535 GARDEN GROVE BLVD STE 201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441552",
            "telephone_number": "972-971-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9535 GARDEN GROVE BLVD STE 201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441552",
            "telephone_number": "972-971-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUAN ANH LUONG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "LUONG",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "ANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-971-7079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ServerProvide",
            "affiliation": "N",
            "endpointDescription": "Province",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9535 Garden Grove Blvd Ste 201",
            "city": "Garden Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928441552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "TUAN ANH LUONG DDS INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Toothclinic Dental Group of Tuan Anh Luong DDS Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.