Active NPI
Vy Thi Tuong Truong, DDS
- General Practice Dentistry
- San Jose, CA
National Provider Identifier
1962522185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 45532
- Practice address
- 1855 Alum Rock Ave
Suite B
San Jose, CA 95116 - Phone
- (408) 254-1995
- Fax
- (408) 254-1996
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 45532 | CA | Primary |
Addresses
Primary practice location
1855 Alum Rock Ave
Suite B
San Jose, CA 95116
Mailing address
1855 Alum Rock Ave
Suite B
San Jose, CA 95116
Phone (408) 254-1995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B4553201 | Medicaid | CA |
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 |
|---|---|---|---|
| 45532 | CA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| QT Huynh Dental Corporation | 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 and National Provider Directory roles.
-
- Dental Clinic/Center
- San Jose, CA
- NPI 1427864917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411084800000",
"number": "1962522185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 ALUM ROCK AVE",
"address_2": "SUITE B",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95116",
"telephone_number": "408-254-1995",
"fax_number": "408-254-1996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 ALUM ROCK AVE",
"address_2": "SUITE B",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95116",
"telephone_number": "408-254-1995",
"fax_number": "408-254-1996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "VY",
"middle_name": "THI TUONG",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2014-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "45532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B4553201",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.