Active NPI
Quan Nhut Tran, DMD
- Dentist
- Palmdale, CA
National Provider Identifier
1043220700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 48049
- Practice address
- 1647 E Palmdale Blvd Ste K
Palmdale, CA 93550-4877 - Phone
- (661) 273-5301
- Fax
- (661) 273-2668
- NPI assigned
- Aug 8, 2006
- Last updated
- Jun 15, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 48049 | CA | Primary |
Addresses
Primary practice location
1647 E Palmdale Blvd Ste K
Palmdale, CA 93550-4877
Mailing address
1647 E Palmdale Blvd Ste K
Palmdale, CA 93550-4877
Phone (661) 273-5301
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 |
|---|---|---|---|
| 48049 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quan N Tran DMD Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1043220700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1647 E PALMDALE BLVD STE K",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935504877",
"telephone_number": "661-273-5301",
"fax_number": "661-273-2668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1647 E PALMDALE BLVD STE K",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935504877",
"telephone_number": "661-273-5301",
"fax_number": "661-273-2668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "QUAN",
"middle_name": "NHUT",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "48049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.