Active NPI
Sara T. Truong, D.D.S.
- Dentist
- Mountain View, CA
National Provider Identifier
1710980529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 46705
- Practice address
- 485 South Dr
Ste C
Mountain View, CA 94040-4208 - Phone
- (650) 961-4766
- NPI assigned
- May 24, 2005
- Reactivated
- Nov 4, 2014
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 46705 | CA | Primary |
Addresses
Primary practice location
485 South Dr
Ste C
Mountain View, CA 94040-4208
Mailing address
485 South Dr
Ste C
Mountain View, CA 94040-4208
Phone (650) 961-4766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001313570 | Other | CA | UNITED CONCORDIA PROVIDER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 46705 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sara T. Truong, D.D.S., a Professional Corporation | Past | Accepting new patients | |
| Sara T. Truong, DDS, Apc | 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.
-
- Dental Clinic/Center
- Mountain View, CA
- NPI 1376546176
-
- Preferred Provider Organization
- Mountain View, CA
- NPI 1538564851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415059200000",
"number": "1710980529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 SOUTH DR",
"address_2": "STE C",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940404208",
"telephone_number": "650-961-4766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 SOUTH DR",
"address_2": "STE C",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940404208",
"telephone_number": "650-961-4766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "SARA",
"middle_name": "T.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-24",
"last_updated": "2014-11-04",
"deactivation_date": "2005-05-24",
"reactivation_date": "2014-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "46705",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA PROVIDER",
"identifier": "001313570",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.