Individual provider Active NPI

Danny Truong, DDS

  • Dentist
  • San Diego, CA
National Provider Identifier
1679785828
Registry record updated Oct 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40198 Issued in CA
Practice address
9878 Hibert St Ste 105
San Diego, CA 92131-1142
Phone
(619) 889-1045
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 40198 CA Primary

Addresses

Primary practice location

9878 Hibert St Ste 105
San Diego, CA 92131-1142

Mailing address

9878 Hibert St Ste 105
San Diego, CA 92131-1142
Phone (619) 889-1045

Other identifiers 1

IdentifierTypeStateIssuer
002202085MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20151208003259 CA Order and Referring Only - DentistPractitioner - Dentist 3779898812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40198CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Justin David Moody, DDS, a Professional Corporation Dentist Past Accepting new patients
Danny Truong DDS, a Professional Corporation General Practice Past Accepting new patients

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697846400000",
    "number": "1679785828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9878 HIBERT ST STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311142",
            "telephone_number": "619-889-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9878 HIBERT ST STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311142",
            "telephone_number": "619-889-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "DANNY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-10-21",
        "certification_date": "2023-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002202085",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.