Organization Active NPI

Peter an Truong, DDS, Ms Inc.

Doing business as Mint Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Irvine, CA
National Provider Identifier
1538916465
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
PETER AN TRUONG, DDS, MS INC.
Doing business as
Mint Orthodontics
Practice address
3963 Portola Pkwy
Irvine, CA 92602-0833
Phone
(714) 544-5544
Fax
(714) 544-5599
NPI assigned
Apr 30, 2024
Last updated
Apr 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Dr. An Van Truong, DDSNPI 1710225446
Title
Owner
Phone
(323) 202-0397

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

3963 Portola Pkwy
Irvine, CA 92602-0833

Mailing address

3963 Portola Pkwy
Irvine, CA 92602-0833
Phone (714) 544-5544

Other names 1

  • Mint Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

3963 Portola Pkwy
Irvine, CA 92602
Phone (714) 544-5544

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1538916465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3963 PORTOLA PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926020833",
            "telephone_number": "714-544-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3963 PORTOLA PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926020833",
            "telephone_number": "714-544-5544",
            "fax_number": "714-544-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER AN TRUONG, DDS, MS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "AN",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-202-0397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mint Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.