Quyen Thuc Duong, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42146 Issued in CA

Practice address

175 S Capitol Ave
Suite E
San Jose, CA 95127-2845

Phone

(408) 923-3073

Fax

(408) 923-3075

NPI assigned

Apr 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Quyen Thuc Duong Professional Dental Corporation

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1568687721
  NPD Authorized official

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1699948398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S CAPITOL AVE",
            "address_2": "SUITE E",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951272845",
            "telephone_number": "408-923-3073",
            "fax_number": "408-923-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S CAPITOL AVE",
            "address_2": "SUITE E",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951272845",
            "telephone_number": "408-923-3073",
            "fax_number": "408-923-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "QUYEN",
        "middle_name": "THUC",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PIN",
            "identifier": "515878",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Minh Chau Duong
• Nghia Duong
• Nghia Trong Duong
• Pamela Duong
• Phuong Le Ai Duong, OPTOMETRIST (O.D.)
• Thanhmai Duong, MD
• Thao Thi Thu Duong, MD
• Tra Van Duong
• Trang Duong, DMD
• Trang K Duong, B.S., LPT

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.