Jimmy Binh-Phi Tran, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

56325 Issued in CA

Practice address

18102 Irvine Blvd
Tustin, CA 92780-3402

Phone

(714) 714-0818

NPI assigned

Aug 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Yen Hai Duong, DDS & Jimmy Tran, DMD, Inc.

  • Dental Clinic/Center
  • Westminster, CA
  • NPI 1144712456
  NPD (past) Authorized official
• Huy Tong, DDS, Inc

  • Preferred Provider Organization
  • Westminster, CA
  • NPI 1639525744
  NPD (past)
• Jerome N. Peterson D.D.S. Inc.

  • Point of Service
  • Santa Ana, CA
  • NPI 1437324555
  NPD (past)

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1043403686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18102 IRVINE BLVD",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803402",
            "telephone_number": "714-714-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18102 IRVINE BLVD",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803402",
            "telephone_number": "714-714-0818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15424 Brookhurst St",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CA",
            "postal_code": "926837057",
            "country_code": "US",
            "telephone_number": "714-775-0666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JIMMY",
        "middle_name": "BINH-PHI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-27",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56325",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andy Quoc Tran
• Christie Aivy Tran, DO
• David Quoc Tran, PHARM.D.
• Donna Tran
• Donny Tran, MD
• John Quoc Tran, DDS
• Kelly Hien Tran, O.D
• Kien Phuc Tran, MD
• Lane N Tran
• Lily Vu Tran

• Dentist in Tustin, CA
• Providers in Tustin, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.