Active NPI
Dan Thong Tran, FNP
- Family Nurse Practitioner
- Vienna, WV
National Provider Identifier
1073479606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10054074
- Practice address
- 4812 Grand Central Ave
Vienna, WV 26105-1845 - Phone
- (626) 534-1082
- NPI assigned
- Dec 29, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10054074 | OR | Primary |
Addresses
Primary practice location
4812 Grand Central Ave
Vienna, WV 26105-1845
Mailing address
4812 Grand Central Ave
Vienna, WV 26105-1845
Phone (626) 534-1082
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 |
|---|---|---|---|
| 10054074 | OR | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766966400000",
"number": "1073479606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4812 GRAND CENTRAL AVE",
"city": "VIENNA",
"state": "WV",
"postal_code": "261051845",
"telephone_number": "626-534-1082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4812 GRAND CENTRAL AVE",
"city": "VIENNA",
"state": "WV",
"postal_code": "261051845",
"telephone_number": "626-534-1082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "DAN",
"middle_name": "THONG",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-12-29",
"last_updated": "2025-12-29",
"certification_date": "2025-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "10054074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.