Organization Active NPI

Tri Truong, MD

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1508068354
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
07936126135097 Issued in NV
Legal business name
TRI TRUONG, MD
Practice address
2354 E Bonanza Rd
Las Vegas, NV 89101-3451
Phone
(702) 399-9161
Fax
(702) 399-9125
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tri Minh Truong, M.D.
Title
Owner
Phone
(702) 399-9161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 07936126135097 NV Primary

Addresses

Primary practice location

2354 E Bonanza Rd
Las Vegas, NV 89101-3451

Mailing address

341 N Buffalo Dr
Suite B
Las Vegas, NV 89145-0376
Phone (702) 228-5691

National Provider Directory

National Provider Directory

Locations

2354 E Bonanza Rd
Las Vegas, NV 89101
Phone (702) 399-9161

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508068354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 N BUFFALO DR",
            "address_2": "SUITE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450376",
            "telephone_number": "702-228-5691",
            "fax_number": "702-228-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2354 E BONANZA RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013451",
            "telephone_number": "702-399-9161",
            "fax_number": "702-399-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI TRUONG, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "TRI",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-399-9161",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "07936126135097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.