Organization Active NPI

Thu T Truong DDS PC

Doing business as Newman Grove Family Dentistry

  • Dentist
  • Newman Grove, NE
National Provider Identifier
1609851799
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5593 Issued in NE
Legal business name
THU T TRUONG DDS PC
Doing business as
Newman Grove Family Dentistry
Practice address
412 Hale Ave
Newman Grove, NE 68758
Phone
(402) 447-6469
Fax
(402) 447-6098
NPI assigned
Dec 12, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thu Thanh Thuong, DDS
Title
President
Phone
(402) 447-6469

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X M900 SD
Dentist 122300000X 37614 CA
Dentist 122300000X 5593 NE Primary

Addresses

Primary practice location

412 Hale Ave
Newman Grove, NE 68758

Mailing address

PO Box 45
412 Hale Ave
Newman Grove, NE 68758
Phone (402) 447-6469

Other names 1

  • Newman Grove Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

412 Hale Ave
Newman Grove, NE 68758
Phone (402) 447-6469

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": "1134345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609851799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45",
            "address_2": "412 HALE AVE",
            "city": "NEWMAN GROVE",
            "state": "NE",
            "postal_code": "68758",
            "telephone_number": "402-447-6469",
            "fax_number": "402-447-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 HALE AVE",
            "city": "NEWMAN GROVE",
            "state": "NE",
            "postal_code": "68758",
            "telephone_number": "402-447-6469",
            "fax_number": "402-447-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THU T TRUONG DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THUONG",
        "authorized_official_first_name": "THU",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-447-6469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "M900",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "37614",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "5593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newman Grove Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newman Grove, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.