Organization Active NPI

Duong and Petchpud General Partnership

  • General Practice Dentistry
  • Aliso Viejo, CA
National Provider Identifier
1790959211
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55112 Issued in CA
Legal business name
DUONG AND PETCHPUD GENERAL PARTNERSHIP
Practice address
5 Journey
Suite 250
Aliso Viejo, CA 92656-5336
Phone
(949) 360-1021
Fax
(949) 360-4125
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Baochau T Duong, DDS
Title
Owner Partner
Phone
(949) 360-1021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 55112 CA Primary

Addresses

Primary practice location

5 Journey
Suite 250
Aliso Viejo, CA 92656-5336

Mailing address

5 Journey
Suite 250
Aliso Viejo, CA 92656-5336
Phone (949) 360-1021

Other names 1

  • South Coast Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1790959211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 JOURNEY",
            "address_2": "SUITE 250",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565336",
            "telephone_number": "949-360-1021",
            "fax_number": "949-360-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 JOURNEY",
            "address_2": "SUITE 250",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565336",
            "telephone_number": "949-360-1021",
            "fax_number": "949-360-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUONG AND PETCHPUD GENERAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "BAOCHAU",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "949-360-1021",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Coast Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.