Kevin Thanh Tran, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46145 Issued in CA

Practice address

8188 Sierra Ave
Suite H
Fontana, CA 92335-3575

Phone

(909) 434-0865

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Tran & Phan, a Professional Dental Coporation

  dba Sky Family Dental Group

  • General Practice Dentistry
  • Fontana, CA
  • NPI 1851512271
  NPD (past) Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1093831893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8188 SIERRA AVE",
            "address_2": "SUITE H",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353575",
            "telephone_number": "909-434-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8188 SIERRA AVE",
            "address_2": "SUITE H",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353575",
            "telephone_number": "909-434-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KEVIN",
        "middle_name": "THANH",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Nhung Tran, M.D.
• Dong Mai Tran, MD
• Hannah Tran, PHARMD
• Hien-Phuong Thi Tran, PHARM.D
• Jimmy Dung Tran, MD
• Lisa M. Tran, MD
• Loi V. Tran, DO
• Michael Q Tran, BSRT
• Mike Cau Tran, MSN, FNP-BC
• Minh Tuan Nhu Tran

• General Practice Dentistry in Fontana, CA
• Providers in Fontana, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.