Active NPI
Alan Chanh Truong, DMD
- Dentist
- Phoenix, AZ
National Provider Identifier
1982387577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D011683
- Practice address
- 9515 W Camelback Rd Ste 120
Phoenix, AZ 85037-1365 - Phone
- (623) 877-8110
- NPI assigned
- Aug 9, 2023
- Last updated
- Aug 9, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D011683 | AZ | Primary |
Addresses
Primary practice location
9515 W Camelback Rd Ste 120
Phoenix, AZ 85037-1365
Mailing address
5430 W Michelle Dr
Glendale, AZ 85308-1331
Phone (408) 599-8180
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 |
|---|---|---|---|
| D011683 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonoran Sky Family Dentistry | 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.
-
- General Practice Dentistry
- Phoenix, AZ
- NPI 1346800760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1982387577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5430 W MICHELLE DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853081331",
"telephone_number": "408-599-8180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9515 W CAMELBACK RD STE 120",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850371365",
"telephone_number": "623-877-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "ALAN",
"middle_name": "CHANH",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-09",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D011683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.