Active NPI
Thu Thanh Truong, D.D.S.
- Dentist
- Newman Grove, NE
National Provider Identifier
1932474186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5593
- Practice address
- 412 Hale Avenue
Newman Grove, NE 68758-0045 - Phone
- (402) 447-6469
- Fax
- (402) 447-6098
- NPI assigned
- Mar 20, 2012
- Last updated
- Mar 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5593 | NE | Primary |
| Dentist | 122300000X | M900 | SD | |
| Dentist | 122300000X | 37614 | CA |
Addresses
Primary practice location
412 Hale Avenue
Newman Grove, NE 68758-0045
Mailing address
P.O. Box 45
412 Hale Avenue
Newman Grove, NE 68758-0045
Phone (402) 447-6469
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68-0521566-01 | Medicaid | NE | |
| 68-0521566-00 | Medicaid | NE |
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 |
|---|---|---|---|
| 37614 | CA | MD | Dentist |
| 5593 | NE | MD | Dentist |
| M900 | SD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thu T Truong DDS PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1932474186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 45",
"address_2": "412 HALE AVENUE",
"city": "NEWMAN GROVE",
"state": "NE",
"postal_code": "687580045",
"telephone_number": "402-447-6469",
"fax_number": "402-447-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 HALE AVENUE",
"city": "NEWMAN GROVE",
"state": "NE",
"postal_code": "687580045",
"telephone_number": "402-447-6469",
"fax_number": "402-447-6098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "THU",
"middle_name": "THANH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-20",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "5593",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SD",
"license": "M900",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "37614",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "68-0521566-01",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "68-0521566-00",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newman Grove, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.