Active NPI
Truc Nha Dinh, DDS
- Dentist
- Fairfax, VA
National Provider Identifier
1902031669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401415414
- Practice address
- 10875 Main St Ste 206
Fairfax, VA 22030-4732 - Phone
- (703) 273-2040
- NPI assigned
- May 26, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401415414 | VA | Primary |
Addresses
Primary practice location
10875 Main St Ste 206
Fairfax, VA 22030-4732
Mailing address
10875 Main St Ste 206
Fairfax, VA 22030-4732
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 |
|---|---|---|---|
| 0401415414 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Dental Group of Fairfax | General Practice | Current | Accepting new patients |
| Truc Nha Dinh DDS, PLLC | General Practice | Past | Accepting new patients |
Locations
10875 Main St
Ste 206
Fairfax, VA 22030
Phone (703) 273-2040
Organizations & group practices 2
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.
-
dba Canyon Falls Family Dentistry
- General Practice Dentistry
- Willis, TX
- NPI 1871868836
-
- General Practice Dentistry
- Fairfax, VA
- NPI 1992680441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1902031669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10875 MAIN ST STE 206",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220304732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10875 MAIN ST STE 206",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220304732",
"telephone_number": "703-273-2040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINH",
"first_name": "TRUC",
"middle_name": "NHA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-26",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401415414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
- Dimensions Direct Primary Care , PLLC
- Dina Darwish MD PC
- Ashley Dinh, DDS
- Bach-Duong Dinh
- Chau Bao Dinh
- Melissa J Dioses Porlles
- Sanda F Dipaolo, MD
- Director of Finance - County of Fairfax VA (Fairfax County Dept. of Neighborhood & Comm Svcs.)
- Director of Finance-County of Fairfax VA (Fairfax County Health Department Pharmacy)
- Director of Finance-County of Fairfax VA (Fairfax County Dental Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.