Individual provider Active NPI

Joann Kim Ha Tran

  • General Practice Dentistry
  • Lawndale, CA
National Provider Identifier
1083072664
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS102111 Issued in CA
Practice address
15655 Hawthorne Blvd Ste a
Lawndale, CA 90260
Phone
(424) 297-0513
NPI assigned
Feb 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6707 LA
General Practice Dentistry 1223G0001X DDS102111 CA Primary

Addresses

Primary practice location

15655 Hawthorne Blvd Ste a
Lawndale, CA 90260

Mailing address

100 Long Beach Blvd Apt 302
Long Beach, CA 90802-4883
Phone (504) 339-1984

Other practice location 1

8913 Bluebonnet Blvd Ste C
Baton Rouge, LA 70810
Phone (225) 766-7379

Other practice location 2

8913 Bluebonnet Blvd Ste C
Baton Rouge, LA 70810-2974
Phone (225) 766-7379

Other practice location 3

8913 Bluebonnet Blvd Ste C
Baton Rouge, LA 70810
Phone (225) 766-7379

Other practice location 4

8913 Bluebonnet Blvd Ste C
Baton Rouge, LA 70810
Phone (225) 766-7379

Other practice location 5

8913 Bluebonnet Blvd Ste C
Baton Rouge, LA 70810
Phone (225) 766-7379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS102111CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Dental Professionals, Donovan Dronet, DDS, a Professional de General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jtran199338@direct.phs.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1083072664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LONG BEACH BLVD APT 302",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024883",
            "telephone_number": "504-339-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15655 HAWTHORNE BLVD STE A",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "90260",
            "telephone_number": "424-297-0513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8913 Bluebonnet Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "70810",
            "country_code": "US",
            "telephone_number": "225-766-7379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8913 Bluebonnet Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708102974",
            "country_code": "US",
            "telephone_number": "225-766-7379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8913 Bluebonnet Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "70810",
            "country_code": "US",
            "telephone_number": "225-766-7379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8913 Bluebonnet Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "70810",
            "country_code": "US",
            "telephone_number": "225-766-7379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8913 Bluebonnet Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "70810",
            "country_code": "US",
            "telephone_number": "225-766-7379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JOANN",
        "middle_name": "KIM HA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6707",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS102111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawndale, CA

Sources for this page

Verify at the official NPI Registry.