Kimberly Truong, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D011048 Issued in AZ

Practice address

825 W Southern Ave Ste 114
Phoenix, AZ 85041-4720

Phone

(602) 272-1170

NPI assigned

Jun 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1780252452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 E HAMPTON AVE APT 1061",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066792",
            "telephone_number": "714-260-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W SOUTHERN AVE STE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414720",
            "telephone_number": "602-272-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "KIMBERLY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Truong, MD
• Alan Chanh Truong, DMD
• David Truong
• Erin Ashley Kellogg Truong, PHD
• Kayla Ly Truong
• Kimberly Ann Truong, FNP-C
• Tommy Truong
• Victoria Truong, PA
• Viet Quoc Truong, PA-C
• Vu Truong

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.