Active NPI
Charles C Tran, DDS
- General Practice Dentistry
- Sacramento, CA
National Provider Identifier
1023175890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37943
- Practice address
- 6930 65TH St
Suite 107B
Sacramento, CA 95823-2343 - Phone
- (916) 427-6263
- Fax
- (916) 427-4843
- NPI assigned
- Jan 2, 2007
- Last updated
- Feb 7, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 37943 | CA | Primary |
Addresses
Primary practice location
6930 65TH St
Suite 107B
Sacramento, CA 95823-2343
Mailing address
6175 Stockton Blvd
Suite 260
Sacramento, CA 95824-4523
Phone (916) 427-6263
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B37943-02 | Medicaid | CA | |
| B37943-01 | 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 |
|---|---|---|---|
| 37943 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles C. Tran, DDS | General Practice | Past | Accepting new patients |
| Charles C. Tran, DDS | Past | Accepting new patients |
Organizations & group practices 2
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
- Sacramento, CA
- NPI 1174680268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1023175890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6175 STOCKTON BLVD",
"address_2": "SUITE 260",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958244523",
"telephone_number": "916-427-6263",
"fax_number": "916-427-4843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6930 65TH ST",
"address_2": "SUITE 107B",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232343",
"telephone_number": "916-427-6263",
"fax_number": "916-427-4843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "CHARLES",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "37943",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B37943-02",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B37943-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.