Active NPI
Trang Huyen To, DMD
- General Practice Dentistry
- Bellflower, CA
National Provider Identifier
1700964251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 52121
- Practice address
- 17240 Downey Ave
Bellflower, CA 90706-6105 - Phone
- (813) 288-8237
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 52121 | CA | Primary |
Addresses
Primary practice location
17240 Downey Ave
Bellflower, CA 90706-6105
Mailing address
18 Sweet FLDS
Buena Park, CA 90620-4172
Phone (714) 855-7007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700964251 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151022002890 | CA | Order and Referring Only - Oral Surgery | 6901115468 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52121 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408492800000",
"number": "1700964251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 SWEET FLDS",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906204172",
"telephone_number": "714-855-7007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17240 DOWNEY AVE",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907066105",
"telephone_number": "813-288-8237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TO",
"first_name": "TRANG",
"middle_name": "HUYEN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2014-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "52121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700964251",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellflower, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.