Individual provider Active NPI

Diana H Tran, DMD

  • Endodontics
  • Mullica Hill, NJ
National Provider Identifier
1043701451
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
22DI03040800 Issued in NJ
Practice address
5 Myers Dr Ste 106
Mullica Hill, NJ 08062-9517
Phone
(856) 478-3100
NPI assigned
May 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 22DI03040800 NJ Primary

Addresses

Primary practice location

5 Myers Dr Ste 106
Mullica Hill, NJ 08062-9517

Mailing address

5 Myers Dr Ste 106
Mullica Hill, NJ 08062-9517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180829002647 KY Order and Referring Only - DentistPractitioner - Dentist 1557611324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI03040800NJMDEndodontist
10097KYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly G Redick DMD Family and Cosmetic Dentistry PC General Practice PastSince Jan 1, 2022 Accepting new patients
Andrew H. Abbott DDS PC General Practice PastSince Jan 1, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1043701451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MYERS DR STE 106",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MYERS DR STE 106",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629517",
            "telephone_number": "856-478-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DIANA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "22DI03040800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

Verify at the official NPI Registry.