Individual provider Active NPI

Hai Trieu Truong, DMD

  • Endodontics
  • Grass Valley, CA
National Provider Identifier
1588198386
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DDS108122 Issued in CA
Practice address
1364 Whispering Pines LN Ste 2
Grass Valley, CA 95945-5975
Phone
(530) 272-4255
NPI assigned
Apr 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 04514 NH
Dentist 122300000X DN1857830 MA
Endodontics 1223E0200X 33452 TX
General Practice Dentistry 1223G0001X DS041456 PA
Endodontics 1223E0200X DDS108122 CA Primary

Addresses

Primary practice location

1364 Whispering Pines LN Ste 2
Grass Valley, CA 95945-5975

Mailing address

1364 Whispering Pines LN Ste 2
Grass Valley, CA 95945-5975
Phone (972) 900-4751

Other practice location 1

601 W Fm 544 Ste 103
Murphy, TX 75094-4236
Phone (972) 900-4751

Other practice location 2

450 A St Ste 300
San Diego, CA 92101-4217
Phone (972) 900-4751

Other practice location 3

5814 Van Allen Way Ste 220
Carlsbad, CA 92008-7360
Phone (972) 900-4751

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1857830MAMDDentist
04514NHMDDentist
DDS108122CAMDEndodontist
DS041456PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
BSC Dental, LLC General Practice PastSince Jun 1, 2021 Accepting new patients
Excel Dental, P.C. Dentist PastSince Jun 1, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1588198386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 WHISPERING PINES LN STE 2",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455975",
            "telephone_number": "972-900-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 WHISPERING PINES LN STE 2",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455975",
            "telephone_number": "530-272-4255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Fm 544 Ste 103",
            "address_purpose": "LOCATION",
            "city": "Murphy",
            "state": "TX",
            "postal_code": "750944236",
            "country_code": "US",
            "telephone_number": "972-900-4751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 A St Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921014217",
            "country_code": "US",
            "telephone_number": "972-900-4751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5814 Van Allen Way Ste 220",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920087360",
            "country_code": "US",
            "telephone_number": "972-900-4751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "HAI",
        "middle_name": "TRIEU",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "04514",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857830",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "33452",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041456",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "DDS108122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.