Active NPI
Tram Duong, DDS
- Pediatric Dentistry
- Spencerport, NY
National Provider Identifier
1629371281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 055255
- Practice address
- 2800 Lyell Spencerport Rd # a
Spencerport, NY 14559-1977 - Phone
- (585) 352-3627
- NPI assigned
- Dec 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 055255 | NY | Primary |
Addresses
Primary practice location
2800 Lyell Spencerport Rd # a
Spencerport, NY 14559-1977
Mailing address
1 Pleasant St
Apt 703
Rochester, NY 14604-1455
Phone (310) 482-9519
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055255 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1629371281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PLEASANT ST",
"address_2": "APT 703",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146041455",
"telephone_number": "310-482-9519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 LYELL SPENCERPORT RD # A",
"city": "SPENCERPORT",
"state": "NY",
"postal_code": "145591977",
"telephone_number": "585-352-3627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG",
"first_name": "TRAM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-20",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "055255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spencerport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.