Active NPI
Dieu T Truong, DH 61310555
- Dental Hygienist
- Liberty Lake, WA
National Provider Identifier
1508567512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 61310555
- Practice address
- 21801 E Country Vista Dr Ste 105
Liberty Lake, WA 99019-7727 - Phone
- (509) 926-5272
- NPI assigned
- Mar 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 61310555 | WA | Primary |
Addresses
Primary practice location
21801 E Country Vista Dr Ste 105
Liberty Lake, WA 99019-7727
Mailing address
1505 N Coach Dr
Spokane Valley, WA 99016-5149
Phone (509) 263-5492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61310555 | WA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MC-LL LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Liberty Lake, WA
- NPI 1871546184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1508567512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 N COACH DR",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "990165149",
"telephone_number": "509-263-5492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21801 E COUNTRY VISTA DR STE 105",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990197727",
"telephone_number": "509-926-5272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "DIEU",
"middle_name": "T",
"credential": "DH 61310555",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-15",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "61310555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liberty Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.