Active NPI
Duong and Petchpud General Partnership
- General Practice Dentistry
- Aliso Viejo, CA
National Provider Identifier
1790959211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 55112
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Aliso Viejo, CA
- NPI 1598820953
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.