Tam H Truong, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11551 Issued in NC

Practice address

571 Yopp Rd Ste 308
Jacksonville, NC 28540-3683

Phone

(910) 716-0101

NPI assigned

Jul 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tam Truong, LLC

  • Dental Clinic/Center
  • Jacksonville, FL
  • NPI 1104693118
  NPD Authorized official
• Lane and Associates Xli DDS PA

  • Dentist
  • Jacksonville, NC
  • NPI 1033794300

  General Practice

  NPD (past)

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1831741677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 DELANEY DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285468217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 YOPP RD STE 308",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285403683",
            "telephone_number": "910-716-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "TAM",
        "middle_name": "H",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA STATE BOARD OF DENTAL EXAMINERS",
            "identifier": "11551",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Lynne Trickel
• Seth James Trifiro, M.D.
• Eleanor Tring
• Kristin Doughty Trowbridge, NP
• Taylor Brooke Trull, LCMHC-A
• Catherine E Tsai, MD
• Andre Kon-Sang Tse, MD
• Hailey Turlington
• Maryann Byron Turlington, RD,LDN
• Wade R Turlington, M.D.

• General Practice Dentistry in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.