Active NPI
Lisa T. Hoang, DDS
- Dentist
- Stockton, CA
National Provider Identifier
1881971869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 60801
- Practice address
- 9709 Angelina CT
Stockton, CA 95212-3139 - Phone
- (209) 518-0544
- NPI assigned
- Nov 4, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 60801 | CA | Primary |
| Dentist | 122300000X | 27483 | TX |
Addresses
Primary practice location
9709 Angelina CT
Stockton, CA 95212-3139
Mailing address
9709 Angelina CT
Stockton, CA 95212-3139
Phone (209) 518-0544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27483 | TX | MD | Dentist |
| 60801 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1881971869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9709 ANGELINA CT",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952123139",
"telephone_number": "209-518-0544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9709 ANGELINA CT",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952123139",
"telephone_number": "209-518-0544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOANG",
"first_name": "LISA",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-04",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "60801",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "27483",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.