Organization Active NPI

Midtown Professional Dentistry

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1578436457
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MIDTOWN PROFESSIONAL DENTISTRY
Practice address
810 29TH St
Sacramento, CA 95816-4320
Phone
(916) 595-7615
NPI assigned
Sep 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Theresa Chu Truong, DDSNPI 1144107467
Title
Dentist
Phone
(916) 595-7615

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

810 29TH St
Sacramento, CA 95816-4320

Mailing address

8216 Montevina Dr
Sacramento, CA 95829-1705

National Provider Directory

National Provider Directory

Locations

810 29th St
Sacramento, CA 95816
Phone (916) 443-1905

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": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1578436457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8216 MONTEVINA DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958291705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 29TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164320",
            "telephone_number": "916-595-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN PROFESSIONAL DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "CHU",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "916-595-7615",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.