Active NPI
Hai Trieu Truong, DMD
- Endodontics
- Grass Valley, CA
National Provider Identifier
1588198386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DDS108122
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN1857830 | MA | MD | Dentist |
| 04514 | NH | MD | Dentist |
| DDS108122 | CA | MD | Endodontist |
| DS041456 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BSC Dental, LLC | General Practice | Past | Accepting new patients |
| Excel Dental, P.C. | Dentist | Past | 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.
-
- General Practice Dentistry
- Billerica, MA
- NPI 1487148862
-
- Dentist
- Lowell, MA
- NPI 1053851733
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.