Individual provider Active NPI

Tranchau Le Hoang, DMD

  • Pediatric Dentistry
  • Winter Haven, FL
National Provider Identifier
1629599774
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN24037 Issued in FL
Practice address
1550 1St St S
Winter Haven, FL 33880-4306
Phone
(863) 293-0636
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS041675 PA
Pediatric Dentistry 1223P0221X DN24037 FL Primary

Addresses

Primary practice location

1550 1St St S
Winter Haven, FL 33880-4306

Mailing address

1550 1St St S
Winter Haven, FL 33880-4306
Phone (863) 293-0636

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

LicenseStateTypeSpecialty
DS041675PAMDDentist
DN24037FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tranchau Hoang DMD, PLLC Pediatric Dentistry Current Accepting new patients
Christopher E. Chuong DMD, PLC Pediatric Dentistry PastSince Sep 1, 2020 Accepting new patients

Locations

1550 1st St S
Winter Haven, FL 33880
Phone (863) 293-0636

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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1629599774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804306",
            "telephone_number": "863-293-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804306",
            "telephone_number": "863-293-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "TRANCHAU",
        "middle_name": "LE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS041675",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN24037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.