Active NPI
David Truong MD PLLC
- Ophthalmology Physician
- Fort Worth, TX
National Provider Identifier
1871201293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- DAVID TRUONG MD PLLC
- Practice address
- 3900 N Tarrant Pkwy Ste 104
Fort Worth, TX 76244-5412 - Phone
- (714) 782-8401
- NPI assigned
- Nov 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Truong, MD
- Title
- Chief Executive Officer
- Phone
- (817) 886-4600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary | ||
| Cornea and External Diseases Specialist Physician | 207WX0120X |
Addresses
Primary practice location
3900 N Tarrant Pkwy Ste 104
Fort Worth, TX 76244-5412
Mailing address
3900 N Tarrant Pkwy Ste 104
Fort Worth, TX 76244-5412
Phone (817) 886-4600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688947200000",
"number": "1871201293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 N TARRANT PKWY STE 104",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762445412",
"telephone_number": "817-886-4600",
"fax_number": "817-886-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 N TARRANT PKWY STE 104",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762445412",
"telephone_number": "714-782-8401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID TRUONG MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-15",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A",
"authorized_official_last_name": "TRUONG",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "817-886-4600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207WX0120X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology, Cornea and External Diseases Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.