Individual provider Active NPI

VI Huyen Truong-Mai, D.D.S.

  • General Practice Dentistry
  • Garland, TX
National Provider Identifier
1669563235
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17307 Issued in TX
Practice address
6850 N Shiloh Rd Ste C
Garland, TX 75044-2917
Phone
(972) 530-0552
Fax
(972) 530-9824
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17307 TX Primary

Addresses

Primary practice location

6850 N Shiloh Rd Ste C
Garland, TX 75044-2917

Mailing address

6850 N Shiloh Rd Ste C
Garland, TX 75044-2917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160322002557 TX Order and Referring Only - DentistPractitioner - Dentist 5496052227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17307TXMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669563235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 N SHILOH RD STE C",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 N SHILOH RD STE C",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442917",
            "telephone_number": "972-530-0552",
            "fax_number": "972-530-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG-MAI",
        "first_name": "VI",
        "middle_name": "HUYEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.