Organization Active NPI

Trung D Ho D.D.S., P,C

  • General Practice Dentistry
  • Annandale, VA
National Provider Identifier
1821155615
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6655 Issued in VA
Legal business name
TRUNG D HO D.D.S., P,C
Practice address
4330 Evergreen LN
Suite F-1
Annandale, VA 22003-3238
Phone
(703) 941-5063
Fax
(703) 941-8955
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Trung D Ho, D.D.S
Title
President
Phone
(703) 941-5063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 6655 VA Primary

Addresses

Primary practice location

4330 Evergreen LN
Suite F-1
Annandale, VA 22003-3238

Mailing address

4330 Evergreen LN
Suite F-1
Annandale, VA 22003-3238
Phone (703) 941-5063

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821155615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 EVERGREEN LN",
            "address_2": "SUITE F-1",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033238",
            "telephone_number": "703-941-5063",
            "fax_number": "703-941-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 EVERGREEN LN",
            "address_2": "SUITE F-1",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033238",
            "telephone_number": "703-941-5063",
            "fax_number": "703-941-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUNG D HO D.D.S., P,C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "TRUNG",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-941-5063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "6655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.