Phong Ly, DDS
NPI 1790131761 · Dentist · Coon Rapids, MN
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phong Ly, DDS is a Dentist provider in Coon Rapids, MN (NPI 1790131761).
Provider details
- NPI number
- 1790131761
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- D13699 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin | 164 | 117 |
| Chlorhexidine Gluconate | 147 | 116 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 36 | 32 |
| Methylprednisolone | 28 | 24 |
| Azithromycin | 18 | 17 |
| Clindamycin Hcl | 17 | 15 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-05-10
- Last updated
- 2025-11-12
- Certified
- 2025-11-12
Frequently asked questions
- What is Phong Ly's NPI number?
- Phong Ly's National Provider Identifier (NPI) is 1790131761, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phong Ly's specialty?
- Phong Ly is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Phong Ly located?
- Phong Ly's practice location on file with NPPES is 9920 Foley Blvd Nw Ste 110, Coon Rapids, MN 55433-5216.
- What is Phong Ly's phone number?
- The practice phone number listed in the NPPES registry for Phong Ly is (763) 377-2110.
- Does Phong Ly accept Medicare?
- Phong Ly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Phong Ly's NPI active?
- Yes — Phong Ly's NPI (1790131761) is active in the NPPES registry as of the last update on 2025-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.