Organization Active NPI

Doan Doan and Tran Dental PC

Doing business as San Diego Dental Group

  • Dental Clinic/Center
  • San Diego, CA
National Provider Identifier
1003644667
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DOAN DOAN AND TRAN DENTAL PC
Doing business as
San Diego Dental Group
Practice address
7825 Engineer Rd Ste 111
San Diego, CA 92111-1925
Phone
(858) 279-1004
Fax
(858) 268-1004
NPI assigned
Jul 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Justene Doan, DDS
Title
Managing Dentist
Phone
(619) 265-6877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

7825 Engineer Rd Ste 111
San Diego, CA 92111-1925

Mailing address

7825 Engineer Rd Ste 111
San Diego, CA 92111-1925
Phone (858) 279-1004

Other names 1

  • San Diego Dental Group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1003644667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7825 ENGINEER RD STE 111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111925",
            "telephone_number": "858-279-1004",
            "fax_number": "858-268-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7825 ENGINEER RD STE 111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111925",
            "telephone_number": "858-279-1004",
            "fax_number": "858-268-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOAN DOAN AND TRAN DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "JUSTENE",
        "authorized_official_title_or_position": "MANAGING DENTIST",
        "authorized_official_telephone_number": "619-265-6877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.