Active NPI
Lan Tuyet Tran, DMD
- Dentist
- Louisville, KY
National Provider Identifier
1003195504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8814
- Practice address
- 10494 Westport Rd
Suite 107
Louisville, KY 40241 - Phone
- (502) 365-9699
- NPI assigned
- Aug 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 8814 | KY | Primary |
Addresses
Primary practice location
10494 Westport Rd
Suite 107
Louisville, KY 40241
Mailing address
10494 Westport Rd
Suite 107
Louisville, KY 40241
Phone (502) 365-9699
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 |
|---|---|---|---|
| 8814 | KY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1003195504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10494 WESTPORT RD",
"address_2": "SUITE 107",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40241",
"telephone_number": "502-365-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10494 WESTPORT RD",
"address_2": "SUITE 107",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40241",
"telephone_number": "502-365-9699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "LAN",
"middle_name": "TUYET",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-15",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "8814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.