Active NPI
Viet Hoang, D.D.S.
- General Practice Dentistry
- City of Industry, CA
National Provider Identifier
1841601085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 49540
- 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, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161230001219 | CA | Order and Referring Only - Dentist | 1456632660 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49540 | CA | MD | Pharmacist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.