Kevin Khanh Truong, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28080 Issued in FL

Practice address

800 E Merritt Island Cswy Ste 105
Merritt Island, FL 32952-3514

Phone

(321) 453-8882

NPI assigned

May 23, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Cornerstone Dentistry

  • General Practice Dentistry
  • Merritt Island, FL
  • NPI 1154696789
  NPD (past)
• Cornerstone Dentistry Holdings PLLC

  • General Practice Dentistry
  • Merritt Island, FL
  • NPI 1710499538
  NPD (past)

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1861184376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16408 NW 13TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281308",
            "telephone_number": "954-608-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E MERRITT ISLAND CSWY STE 105",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523514",
            "telephone_number": "321-453-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "KEVIN",
        "middle_name": "KHANH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "28080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Arnold Trevino, MD
• Jennifer Sue Trikones
• Laura L Trombly, DDS
• Tropical Family Healthcare, LLC
• True You Brevard LLC
• Laura Michelle Tucker, LMT, LMP
• Tuffstufs Enterprises Inc
• Sara Theresa Turner, RN,MSN,NP,PHN
• Timothy H Tweito, M.D.
• Urgent Care Centers of Brevard County LLC

• General Practice Dentistry in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.