Active NPI
Minh Quang Hoang, D.M.D.
- General Practice Dentistry
- Portland, OR
National Provider Identifier
1659757433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D10360
- Practice address
- 9151 SE Woodstock Blvd
Portland, OR 97266-5369 - Phone
- (503) 433-2414
- NPI assigned
- Aug 4, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE 60581952 | WA | |
| General Practice Dentistry | 1223G0001X | D10360 | OR | Primary |
Addresses
Primary practice location
9151 SE Woodstock Blvd
Portland, OR 97266-5369
Mailing address
9151 SE Woodstock Blvd
Portland, OR 97266-5369
Phone (503) 433-2414
Other practice location 1
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-3949
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 |
|---|---|---|---|
| D10360 | OR | MD | General Practice Dentistry |
| DE 60581952 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1659757433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9151 SE WOODSTOCK BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972665369",
"telephone_number": "503-433-2414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9151 SE WOODSTOCK BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972665369",
"telephone_number": "503-433-2414"
}
],
"practiceLocations": [
{
"address_1": "1 Jarrett White Rd",
"address_purpose": "LOCATION",
"city": "Tripler Army Medical Center",
"state": "HI",
"postal_code": "968595001",
"country_code": "US",
"telephone_number": "808-433-3949",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOANG",
"first_name": "MINH",
"middle_name": "QUANG",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-04",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE 60581952",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D10360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.