Individual provider Active NPI

Charles C Tran, DDS

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1023175890
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37943 Issued in CA
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
B37943-02MedicaidCA
B37943-01MedicaidCA

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

LicenseStateTypeSpecialty
37943CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.