Active NPI
Jessica TN Truong, DDS
- Dentist
- Carlsbad, CA
National Provider Identifier
1902299472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39993
- Practice address
- 520 Stern Way
Carlsbad, CA 92011 - Phone
- (619) 972-1046
- NPI assigned
- Mar 9, 2015
- 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 | 39993 | CA | Primary |
Addresses
Primary practice location
520 Stern Way
Carlsbad, CA 92011
Mailing address
520 Stern Way
Carlsbad, CA 92011
Phone (619) 972-1046
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 |
|---|---|---|---|
| 39993 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1902299472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 STERN WAY",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "92011",
"telephone_number": "619-972-1046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 STERN WAY",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "92011",
"telephone_number": "619-972-1046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "JESSICA",
"middle_name": "TN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-09",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "39993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.