NPIMap

Organization Active NPI

Andy P. Duong DDS PC

  • Dental Clinic/Center
  • El Sobrante, CA
National Provider Identifier
1922770817
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ANDY P. DUONG DDS PC
Practice address
4440 San Pablo Dam Rd Ste C
El Sobrante, CA 94803-3052
Phone
(510) 223-4311
NPI assigned
Sep 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Mr. Andy Duong, DDSNPI 1427255736
Title
Owner Dentist
Phone
(415) 812-3642

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4440 San Pablo Dam Rd Ste C
El Sobrante, CA 94803-3052

Mailing address

4440 San Pablo Dam Rd Ste C
El Sobrante, CA 94803-3052
Phone (510) 223-4311

National Provider Directory

National Provider Directory

Locations

4440 San Pablo Dam Rd
Ste C
El Sobrante, CA 94803
Phone (510) 223-4311

Practitioners & affiliated clinicians

Practitioners 2

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": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1922770817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 SAN PABLO DAM RD STE C",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948033052",
            "telephone_number": "510-223-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 SAN PABLO DAM RD STE C",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948033052",
            "telephone_number": "510-223-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDY P. DUONG DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "415-812-3642",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Sobrante, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.