Individual provider Active NPI

Hai Quoc Trang, DDS

  • General Practice Dentistry
  • Tempe, AZ
National Provider Identifier
1750346995
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6177 Issued in AZ
Practice address
1761 E Warner Rd
Ste #a-14
Tempe, AZ 85284-4558
Phone
(480) 755-3320
Fax
(480) 755-3380
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6177 AZ Primary

Addresses

Primary practice location

1761 E Warner Rd
Ste #a-14
Tempe, AZ 85284-4558

Mailing address

1761 E Warner Rd
Ste #a-14
Tempe, AZ 85284-4558
Phone (480) 755-3320

Other identifiers 3

IdentifierTypeStateIssuer
AZ0419630OtherAZBCBS
1811201OtherAZUNITED CONCORDIA
955156OtherAZAHCCCS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160408001343 AZ Order and Referring Only - DentistPractitioner - Dentist 5294033189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6177AZMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750346995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 E WARNER RD",
            "address_2": "STE #A-14",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852844558",
            "telephone_number": "480-755-3320",
            "fax_number": "480-755-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 E WARNER RD",
            "address_2": "STE #A-14",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852844558",
            "telephone_number": "480-755-3320",
            "fax_number": "480-755-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRANG",
        "first_name": "HAI",
        "middle_name": "QUOC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0419630",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1811201",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "955156",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.