Individual provider Active NPI

Viet Hoang, D.D.S.

  • General Practice Dentistry
  • City of Industry, CA
National Provider Identifier
1841601085
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49540 Issued in CA
Practice address
17595 Almahurst St Ste 101-2
City of Industry, CA 91748-9909
Phone
(626) 965-7445
Fax
(626) 965-7449
NPI assigned
May 9, 2014
Last updated
Oct 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 49540 CA Primary

Addresses

Primary practice location

17595 Almahurst St Ste 101-2
City of Industry, CA 91748-9909

Mailing address

6852 Defiance Dr
Huntington Beach, CA 92647-4028
Phone (626) 234-8438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20161230001219 CA Order and Referring Only - DentistPractitioner - Dentist 1456632660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
49540CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1841601085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6852 DEFIANCE DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474028",
            "telephone_number": "626-234-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17595 ALMAHURST ST STE 101-2",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917489909",
            "telephone_number": "626-965-7445",
            "fax_number": "626-965-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "VIET",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-09",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in City of Industry, CA

Sources for this page

Verify at the official NPI Registry.