Individual provider Active NPI

Amy Truong Alfaro, D.M.D.

  • Dentist
  • Jacksonville, FL
National Provider Identifier
1669840864
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
64719 Issued in CA
Practice address
2080 Child St
Jacksonville, FL 32214-5005
Phone
(904) 542-7130
NPI assigned
Sep 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 64719 CA Primary

Addresses

Primary practice location

2080 Child St
Jacksonville, FL 32214-5005

Mailing address

10991 Lotta CT
San Diego, CA 92126-1171

Other practice location 1

2310 Craven St Bldg 3230
San Diego, CA 92136-5596
Phone (619) 556-8240

Other practice location 2

2005 Knight Lane
Bldg H Navy Med Support Command ATTN Med Staff Svcs
Jacksonville, FL 32212-0140
Phone (760) 725-3213

Other practice location 3

USS Boxer LHD-4
Fpo, AP 96661-1663
Phone (619) 556-4105 ext. 6221

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
64719CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1669840864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10991 LOTTA CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921261171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CHILD ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322145005",
            "telephone_number": "904-542-7130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2310 Craven St Bldg 3230",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921365596",
            "country_code": "US",
            "telephone_number": "619-556-8240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2005 Knight Lane",
            "address_2": "Bldg H Navy Med Support Command ATTN Med Staff Svcs",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322120140",
            "country_code": "US",
            "telephone_number": "760-725-3213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "USS Boxer LHD-4",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "AP",
            "postal_code": "966611663",
            "country_code": "US",
            "telephone_number": "619-556-4105 x6221",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "ALFARO",
        "first_name": "AMY",
        "middle_name": "TRUONG",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-04",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.